Clinic
Bronxcare DR. Martin Luther King JR. Health Center
Bronxcare DR. Martin Luther King JR. Health Center was paid $6.55M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 19% of everything it billed.
33Billing provider infoBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
BRONX, NY 10453
BRONX, NY 10453
33aNPI1619275039assigned 03/09/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.55M
24GClaims128,425
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#44 of 158
Median peer was paid$1.73M
This provider vs. median3.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more
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 | 23,535 | $869K | |
| 2019 | 14,114 | $709K | |
| 2020 | 11,501 | $641K | |
| 2021 | 13,701 | $747K | |
| 2022 | 11,093 | $538K | |
| 2023 | 33,250 | $1.73M | |
| 2024incomplete | 21,231 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 19% | 10,731 | 10,454 | $1.26M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 49,915 | 9,997 | $1.15M |
| D9430 | 17% | 9,857 | 9,047 | $1.13M | |
| D0140 | Limited oral evaluation - problem focused | 16% | 24,068 | 8,488 | $1.04M |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 4,604 | 4,190 | $532K |
| D0330 | Panoramic radiographic image | 5.7% | 8,277 | 3,090 | $373K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 10,020 | 2,051 | $244K |
| D1351 | Sealant - per tooth | 3.3% | 2,918 | 1,857 | $215K |
| D1110 | Prophylaxis - adult | 3.0% | 1,982 | 1,777 | $199K |
| D9310 | 1.6% | 853 | 845 | $104K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 2,153 | 724 | $86K |
| D5110 | <1% | 386 | 327 | $42K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 417 | $41K |
| D0340 | <1% | 965 | $40K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 323 | $36K |
| D9991 | <1% | 256 | $26K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 571 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 56 | $7K |
| D0470 | <1% | 25 | $2K | |
| D4341 | <1% | 18 | $2K | |
| D0350 | <1% | 30 | $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 officialDEMARCO, VICTOR (SENIOR VP-CHIEF FINANCIAL OFFICER)
Parent organizationBRONXCARE DR. MARTIN LUTHER KING JR HEALTH CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Bronxcare Health System | Bronx, NY | $348.43M |
| Bronxcare Health System | Bronx, NY | $62.38M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $60.39M |
| Bronxcare Health System | Bronx, NY | $13.04M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $7.31M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.04M |
| Bronxcare Health System | Bronx, NY | $4.30M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $3.14M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $511K |
| Bronxcare Health System | Bronx, NY | $420K |
| Bronxcare Health System | Bronx, NY | $403K |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $392K |
| Bronxcare Health System | Bronx, NY | $13K |
| Bronxcare Health System | Bronx, NY | $12K |
| Bronxcare Special Care Center | Bronx, NY | $6K |
| Bronxcare Health System | Bronx, NY | $2K |
| Bronxcare Health System | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.