Dental
Elmhurst Orthodontics, PC
Elmhurst Orthodontics, PC was paid $1.59M by Medicaid between Jun 2018 and Dec 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoELMHURST ORTHODONTICS, PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1528402112assigned 04/25/2013
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$1.59M
24GClaims51,697
24DCodes billed26
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New York
Rank by total paid#39 of 338
Median peer was paid$256K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 313 | $5K | |
| 2019 | 579 | $11K | |
| 2020 | 1,088 | $23K | |
| 2021 | 13,486 | $452K | |
| 2022 | 24,557 | $847K | |
| 2023 | 6,995 | $160K | |
| 2024incomplete | 4,679 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 9,113 | 9,112 | $230K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 5,968 | 5,967 | $224K |
| D8670 | Periodic orthodontic treatment visit | 10% | 589 | 589 | $165K |
| D1110 | Prophylaxis - adult | 9.9% | 3,278 | 3,278 | $157K |
| D0274 | Bitewings - four radiographic images | 8.3% | 5,156 | 5,156 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 1,972 | 1,167 | $130K |
| D1351 | Sealant - per tooth | 6.9% | 2,506 | 896 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 7,955 | 7,935 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 5,913 | 5,913 | $76K |
| D1206 | Topical application of fluoride varnish | 4.2% | 2,434 | 2,434 | $67K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,286 | 832 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 524 | 382 | $28K |
14 more codes
| D0272 | Bitewings - two radiographic images | 1.4% | 1,462 | $22K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 196 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,397 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 343 | $13K |
| D0340 | <1% | 209 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 285 | $8K |
| D1354 | <1% | 220 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 83 | $7K |
| D0330 | Panoramic radiographic image | <1% | 225 | $7K |
| D8660 | <1% | 248 | $7K | |
| D0350 | <1% | 200 | $2K | |
| D0470 | <1% | 62 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 26 | $780.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 47 | $606.82 |
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 officialBALES-KOGAN, ARIEL (ORTHODONTIST)