CHURCH AVE ORTHODONTICS, LLC

NPI: 1407096845 · BROOKLYN, NY 11226 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/25/2009

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DRUT, OLEG controls 18+ related entities in our dataset. Read more

$2.15M

Total Medicaid Paid

19,891

Total Claims

19,437

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	DRUT, OLEG (OWNER)
NPI Enumeration Date	02/25/2009

Other providers sharing the same authorized official: DRUT, OLEG

Provider	City	State	Total Paid
SOUTH BRONX ORTHODONTICS	BRONX	NY	$6.37M
AVENUE U ORTHODONTICS, PLLC	BROOKLYN	NY	$4.76M
BERGENLINE ORTHODONTICS, LLC	WEST NEW YORK	NJ	$3.73M
BUSHWICK ORTHODONTICS PLLC	BROOKLYN	NY	$1.79M
DIAMOND BRACES OF HACKENSACK	HACKENSACK	NJ	$1.67M
RICHMOND AVE ORTHODONTICS, PLLC	STATEN ISLAND	NY	$1.56M
CLIFTON ORTHODONTICS LLC	CLIFTON	NJ	$1.51M
SPRING VALLEY ORTHODONTICS, PLLC	SPRING VALLEY	NY	$1.44M
QUEENS ORTHODONTICS	ASTORIA	NY	$1.30M
DIAMOND BRACES EDISON	EDISON	NJ	$499K
DIAMOND BRACES DOVER	DOVER	NJ	$415K
DIAMOND BRACES OF NORWALK	ENGLEWOOD	NJ	$368K
NASSAU COUNTY ORTHODONTICS	MASSAPEQUA	NY	$301K
SMILIFY OF FAIR LAWN	FAIR LAWN	NJ	$234K
JOURNAL SQUARE ORTHODONTICS LLC	JERSEY CITY	NJ	$213K
DIAMOND BRACES OF NORWALK CONNECTICUT LLC	NORWALK	CT	$156K
WASHINGTON HEIGHTS ORTHODONTICS	ENGLEWOOD	NJ	$69K
NY SMILE ORTHODONTICS	BROOKLYN	NY	$64K

Code	Description	Claims	Beneficiaries	Total Paid
D8670	Periodic orthodontic treatment visit	8,259	7,816	$1.66M
D8080	Comprehensive orthodontic treatment of the adolescent dentition	169	169	$159K
D8660		2,710	2,709	$77K
D0330	Panoramic radiographic image	2,675	2,674	$74K
D8680		419	418	$68K
D0340		1,863	1,861	$66K
D0350		3,796	3,790	$39K