Dental
Indian Rock Dental, PC
Indian Rock Dental, PC was paid $696K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 23% of everything it billed.
33Billing provider infoINDIAN ROCK DENTAL, PC
MONTEBELLO, NY 10901
MONTEBELLO, NY 10901
33aNPI1578998639assigned 09/09/2013
33bProvider typeDentist
28Total paid$696K
24GClaims19,826
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#151 of 1,649
Median peer was paid$49K
This provider vs. median14×
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 | 221 | $6K | |
| 2019 | 660 | $17K | |
| 2020 | 1,401 | $35K | |
| 2021 | 2,257 | $55K | |
| 2022 | 4,215 | $185K | |
| 2023 | 5,346 | $217K | |
| 2024incomplete | 5,726 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 23% | 320 | 270 | $163K |
| D1110 | Prophylaxis - adult | 23% | 3,641 | 3,639 | $158K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,294 | 889 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 2,855 | 2,855 | $62K |
| D0274 | Bitewings - four radiographic images | 5.5% | 1,773 | 1,772 | $38K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 1,088 | 1,078 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,553 | 1,551 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 2,707 | 2,697 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 190 | 156 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 356 | 257 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,326 | 1,326 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 2,103 | 2,092 | $14K |
5 more codes
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 officialFAINMAN, RACHEL (OWNER)