Dental
Family Dentistry of Elmhurst
Family Dentistry of Elmhurst was paid $160K by Medicaid between Jun 2018 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoFAMILY DENTISTRY OF ELMHURST
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1407121692assigned 03/20/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$160K
24GClaims6,324
24DCodes billed9
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#696 of 2,184
Median peer was paid$54K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 231 | $6K | |
| 2019 | 292 | $6K | |
| 2020 | 335 | $10K | |
| 2021 | 889 | $27K | |
| 2022 | 791 | $18K | |
| 2023 | 2,080 | $51K | |
| 2024incomplete | 1,706 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 1,574 | 1,571 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,053 | 1,051 | $23K |
| D0274 | Bitewings - four radiographic images | 11% | 809 | 809 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 401 | 400 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 1,051 | 1,048 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 135 | 85 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 345 | 345 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 916 | 916 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 40 | 25 | $3K |
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 officialFILION, LUZ (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Centro Dental Familiar PC. | Jackson Heights, NY | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.