Dental
Primary Care Dental PC
Primary Care Dental PC was paid $3K by Medicaid between Jan 2018 and Oct 2018, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoPRIMARY CARE DENTAL PC
HARTSDALE, NY 10530
HARTSDALE, NY 10530
33aNPI1669764015assigned 05/04/2011
33bProvider typeDentist
28Total paid$3K
24GClaims136
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,382 of 1,649
Median peer was paid$49K
This provider vs. median0.1×
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 | 136 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 63 | 63 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 47 | 47 | $547.40 |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 14 | 14 | $398.75 |
| D0274 | Bitewings - four radiographic images | 11% | 12 | 12 | $295.80 |
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 officialKIM, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Jeffrey J Kim's Dental, INC. | San Bernardino, CA | $1.18M |
| Hampton Family Dentistry | Middletown, NY | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.