Clinic
Third Avenue Bronx Dental PC
Third Avenue Bronx Dental PC was paid $2.15M by Medicaid between Jun 2020 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoTHIRD AVENUE BRONX DENTAL PC
BRONX, NY 10455
BRONX, NY 10455
33aNPI1720542210assigned 01/29/2019
33bProvider typeDental Clinic/Center
28Total paid$2.15M
24GClaims79,652
24DCodes billed25
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#12 of 188
Median peer was paid$113K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2020 | 7,021 | $170K | |
| 2021 | 19,933 | $600K | |
| 2022 | 24,437 | $665K | |
| 2023 | 16,468 | $403K | |
| 2024incomplete | 11,793 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 9,063 | 9,062 | $309K |
| D2751 | Crown - porcelain fused to predominantly base metal | 12% | 697 | 606 | $265K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 3,090 | 2,419 | $175K |
| D1351 | Sealant - per tooth | 6.9% | 3,349 | 1,086 | $149K |
| D0274 | Bitewings - four radiographic images | 6.8% | 7,959 | 7,959 | $146K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 7,267 | 7,267 | $145K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 3,527 | 2,481 | $132K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 13,011 | 12,993 | $131K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 5,202 | 5,202 | $107K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 10,653 | 10,651 | $100K |
| D2954 | 3.8% | 910 | 812 | $82K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 2,236 | 1,712 | $81K |
13 more codes
| D1120 | Dental cleaning, child | 3.5% | 2,416 | $76K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 1,080 | $71K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 4,172 | $48K |
| D2332 | 1.7% | 563 | $38K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 1,973 | $24K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,207 | $21K |
| D2330 | <1% | 399 | $14K | |
| D3320 | <1% | 78 | $13K | |
| D2331 | <1% | 160 | $10K | |
| D4341 | <1% | 117 | $5K | |
| D2335 | <1% | 75 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 332 | $3K |
| D9110 | <1% | 116 | $2K |
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, SUNG KWANG (OWNER)