Dental
Centro Dental Familiar PC.
Centro Dental Familiar PC. was paid $50K by Medicaid between Dec 2019 and Oct 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoCENTRO DENTAL FAMILIAR PC.
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1467505529assigned 01/19/2007
33bProvider typeDentist
28Total paid$50K
24GClaims1,770
24DCodes billed8
24AFirst – last monthDec 2019 – Oct 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#821 of 1,649
Median peer was paid$49K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 24 | $396.00 | |
| 2021 | 915 | $27K | |
| 2022 | 819 | $22K | |
| 2023 | 12 | $495.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 478 | 477 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 188 | 51 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 349 | 347 | $8K |
| D0274 | Bitewings - four radiographic images | 12% | 267 | 267 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 85 | 85 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 222 | 222 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 129 | 129 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 52 | 52 | $1K |
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 (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Family Dentistry of Elmhurst | Elmhurst, NY | $160K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.