Dental
1037 Fulton Street Dental PC
1037 Fulton Street Dental PC was paid $11K by Medicaid between Jun 2020 and Aug 2022, across 6 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 26% of everything it billed.
33Billing provider info1037 FULTON STREET DENTAL PC
FARMINGDALE, NY 11735
FARMINGDALE, NY 11735
33aNPI1366926891assigned 09/20/2018
33bProvider typeDentist
28Total paid$11K
24GClaims697
24DCodes billed6
24AFirst – last monthJun 2020 – Aug 2022
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,151 of 1,649
Median peer was paid$49K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 93 | $2K | |
| 2021 | 325 | $5K | |
| 2022 | 279 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 26% | 266 | 254 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 113 | 113 | $3K |
| D0274 | Bitewings - four radiographic images | 22% | 110 | 110 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 141 | 140 | $2K |
| D1110 | Prophylaxis - adult | 9.8% | 24 | 24 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 43 | 39 | $398.82 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDAVYDOV, JOHN (DIRECTOR)