Dental
Hudson Valley Mall Dental LLP
Hudson Valley Mall Dental LLP was paid $132K by Medicaid between Mar 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoHUDSON VALLEY MALL DENTAL LLP
KINGSTON, NY 12401
KINGSTON, NY 12401
33aNPI1447550033assigned 10/28/2010
33bProvider typeDentist
28Total paid$132K
24GClaims9,087
24DCodes billed12
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#545 of 1,649
Median peer was paid$49K
This provider vs. median2.7×
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 | 250 | $9K | |
| 2019 | 646 | $19K | |
| 2020 | 1,101 | $24K | |
| 2021 | 1,288 | $7K | |
| 2022 | 2,197 | $19K | |
| 2023 | 2,840 | $29K | |
| 2024incomplete | 765 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 1,951 | 1,949 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,993 | 1,991 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 852 | 850 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 587 | 585 | $13K |
| D0274 | Bitewings - four radiographic images | 10% | 734 | 733 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 1,477 | 1,464 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 795 | 791 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 211 | 138 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 334 | 332 | $600.70 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | 15 | $210.00 |
| D0330 | Panoramic radiographic image | 0% | 43 | 43 | $0.00 |
| D4346 | 0% | 95 | 95 | $0.00 |
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 officialKRASNOV, ROSS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brass Mill Mall Dental L.L.P | Waterbury, CT | $1.26M |
| Town Center Dental of Stamford P.C. | Stamford, CT | $554K |
| Staten Island Mall Dental, P.C. | Staten Island, NY | $289K |
| Hudson Valley Plaza Dental LLP | Troy, NY | $278K |
| 42ND Street Dental, Associates | New York, NY | $112K |
| Atlantic Terminal Dental, P.C. | Brooklyn, NY | $81K |
| Galleria Mall Dental PC | White Plains, NY | $72K |
| Palisades Mall Dental LLP | West Nyack, NY | $55K |
| Oakdale Mall Dental LLP | Johnson City, NY | $40K |
| Galleria Mall Dental PC | Middletown, NY | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.