Dental
Montefiore Dental
Montefiore Dental was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoMONTEFIORE DENTAL
BRONX, NY 10467
BRONX, NY 10467
33aNPI1588869986assigned 06/18/2007
33bProvider typeDentist
28Total paid$3.17M
24GClaims116,707
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#18 of 1,649
Median peer was paid$49K
This provider vs. median64×
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 | 26,928 | $571K | |
| 2019 | 28,680 | $585K | |
| 2020 | 12,164 | $263K | |
| 2021 | 2,504 | $42K | |
| 2023 | 19,309 | $683K | |
| 2024incomplete | 27,122 | $1.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 11,001 | 11,000 | $432K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 16,936 | 16,898 | $348K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 5,732 | 4,372 | $335K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.3% | 2,574 | 1,960 | $231K |
| D0330 | Panoramic radiographic image | 7.1% | 7,356 | 7,353 | $226K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 6.9% | 558 | 547 | $218K |
| D1206 | Topical application of fluoride varnish | 5.8% | 6,139 | 6,139 | $183K |
| D0272 | Bitewings - two radiographic images | 3.3% | 7,776 | 7,776 | $103K |
| D3320 | 3.0% | 320 | 311 | $94K | |
| D1354 | 2.9% | 6,359 | 2,216 | $92K | |
| D9310 | 2.9% | 3,167 | 3,167 | $91K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 5,645 | 5,644 | $70K |
25 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 3,296 | $64K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 7,603 | $62K |
| D1351 | Sealant - per tooth | 2.0% | 1,299 | $62K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 5,068 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 2,131 | $60K |
| D1110 | Prophylaxis - adult | 1.9% | 1,676 | $60K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.7% | 591 | $55K |
| D9222 | 1.7% | 854 | $55K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 1,174 | $54K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 457 | $53K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 781 | $48K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 4,189 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 2,770 | $32K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,044 | $18K |
| D3310 | <1% | 53 | $13K | |
| D0240 | <1% | 660 | $9K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 169 | $5K |
| D9610 | <1% | 213 | $849.30 | |
| D0270 | <1% | 40 | $269.93 | |
| D9920 | <1% | 13 | $220.86 | |
| D9215 | 0% | 1,108 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 622 | $0.00 |
| D1330 | 0% | 5,501 | $0.00 | |
| D9630 | 0% | 702 | $0.00 | |
| D5899 | 0% | 130 | $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 officialBROCKETT, CHARLES (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Montefiore Dental Department | Bronx, NY | $2.91M |
| Montefiore Dental | Bronx, NY | $2.26M |
| Montefiore Dental Department | Bronx, NY | $1.78M |
| Montefiore Dental Department | Bronx, NY | $1.63M |
| Montefiore Dental Department | Bronx, NY | $352K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.