Dental
Sunrise Mall Dental PC
Sunrise Mall Dental PC was paid $247K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoSUNRISE MALL DENTAL PC
MASSAPEQUA, NY 11758
MASSAPEQUA, NY 11758
33aNPI1619022944assigned 01/25/2007
33bProvider typeDentist
28Total paid$247K
24GClaims8,238
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#376 of 1,649
Median peer was paid$49K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2018 | 437 | $11K | |
| 2019 | 976 | $25K | |
| 2020 | 1,162 | $36K | |
| 2021 | 2,883 | $101K | |
| 2022 | 2,448 | $66K | |
| 2023 | 332 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 1,517 | 1,516 | $66K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 561 | 435 | $44K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 1,647 | 1,646 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,258 | 1,257 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 1,191 | 1,190 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 369 | 298 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 1,278 | 1,276 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 257 | 257 | $6K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.4% | 13 | 12 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | 14 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 107 | 107 | $1K |
| D2954 | <1% | 13 | 13 | $1K |
1 more codes
| D1120 | Dental cleaning, child | <1% | 13 | $413.95 |
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 officialLEVIN, IGOR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Broadway Mall Dental | Hicksville, NY | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.