Dental
Roosevelt 26 Dental Group PLLC
Roosevelt 26 Dental Group PLLC was paid $810K by Medicaid between Jun 2019 and Nov 2024, across 9 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 71% of everything it billed.
33Billing provider infoROOSEVELT 26 DENTAL GROUP PLLC
CORONA, NY 11368
CORONA, NY 11368
33aNPI1407319239assigned 04/09/2019
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$810K
24GClaims10,828
24DCodes billed9
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New York
Rank by total paid#84 of 338
Median peer was paid$256K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2019 | 295 | $7K | |
| 2020 | 313 | $24K | |
| 2021 | 1,383 | $110K | |
| 2022 | 2,482 | $240K | |
| 2023 | 3,682 | $247K | |
| 2024incomplete | 2,673 | $182K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 71% | 2,434 | 2,423 | $571K |
| D0340 | 6.4% | 1,285 | 1,285 | $52K | |
| D9990 | 5.6% | 2,181 | 2,093 | $46K | |
| D8660 | 5.6% | 1,567 | 1,567 | $45K | |
| D0330 | Panoramic radiographic image | 5.5% | 1,494 | 1,494 | $44K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 3.7% | 38 | 38 | $30K |
| D0350 | 2.3% | 1,728 | 1,728 | $19K | |
| D0470 | <1% | 62 | 62 | $2K | |
| D9310 | <1% | 39 | 39 | $2K |
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 officialKHALILI, FARAMARZ (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Roosevelt 26 Dentistry P.C. | Corona, NY | $710K |
| Kings 26 Dentistry | Ozone Park, NY | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.