Dental
Liberty 786 Dentistry
Liberty 786 Dentistry was paid $808K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoLIBERTY 786 DENTISTRY
SOUTH RICHMOND HILL, NY 11419
SOUTH RICHMOND HILL, NY 11419
33aNPI1700161338assigned 10/14/2011
33bProvider typeDentist
28Total paid$808K
24GClaims47,290
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#125 of 1,649
Median peer was paid$49K
This provider vs. median16×
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 | 4,025 | $65K | |
| 2019 | 4,641 | $74K | |
| 2020 | 5,251 | $96K | |
| 2021 | 5,431 | $91K | |
| 2022 | 7,087 | $122K | |
| 2023 | 9,977 | $173K | |
| 2024incomplete | 10,878 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 5,309 | 5,302 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 7,098 | 7,089 | $144K |
| D0274 | Bitewings - four radiographic images | 12% | 5,048 | 5,046 | $94K |
| D0220 | Intraoral - periapical first radiographic image | 9.8% | 8,373 | 8,271 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 2,307 | 2,301 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 6,657 | 6,645 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 3,698 | 3,693 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 828 | 533 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 511 | 371 | $27K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 2,560 | 2,486 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 636 | 461 | $25K |
| D0272 | Bitewings - two radiographic images | 1.4% | 954 | 954 | $12K |
10 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 2,101 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 506 | $10K |
| D4341 | <1% | 107 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 67 | $4K |
| D9310 | <1% | 39 | $2K | |
| D1320 | <1% | 153 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 25 | $599.33 |
| D1999 | 0% | 108 | $0.00 | |
| D0190 | 0% | 88 | $0.00 | |
| D1330 | 0% | 117 | $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 officialKHAN, RBEEA (D.D.S)