Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

LJ Professional Dental PC

LJ Professional Dental PC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoLJ PROFESSIONAL DENTAL PC
NEW YORK, NY 10031
33aNPI1588877591assigned 05/07/2007
33bProvider typePediatric Dentist
28Total paid$1.27M
24GClaims58,354
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#96 of 514
Median peer was paid$196K
This provider vs. median6.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20188,353$187K
20199,560$211K
20205,832$124K
20219,696$213K
20228,447$181K
20238,851$189K
2024incomplete7,615$168K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 19% 5,667 5,663 $236K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 10,470 10,451 $236K
D1120 Dental cleaning, childProphylaxis - child 14% 4,898 4,882 $181K
D0230 Intraoral - periapical each additional radiographic image 11% 9,673 9,656 $140K
D0274 Bitewings - four radiographic images 8.7% 4,948 4,948 $110K
D1208 Topical application of fluoride, excluding varnish 7.3% 7,012 6,996 $93K
D0220 Intraoral - periapical first radiographic image 6.6% 9,690 9,673 $84K
D2140 6.0% 1,581 1,328 $77K
D7140 Extraction, erupted tooth or exposed root 3.8% 966 838 $48K
D2150 Silver amalgam - two surfaces, primary or permanent 2.3% 485 419 $30K
D0272 Bitewings - two radiographic images 1.2% 1,126 1,126 $15K
D0210 Intraoral - complete series of radiographic images <1% 1,518 1,510 $11K
3 more codes
D1351 Sealant - per tooth <1% 161 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 95 $2K
D0240 <1% 64 $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 officialJIMENEZ, LIBIA (DDS)