Clinic
Pediatric Dentistry of Boro Park PLLC
Pediatric Dentistry of Boro Park PLLC was paid $931K by Medicaid between Oct 2021 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF BORO PARK PLLC
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1730762642assigned 04/29/2021
33bProvider typeDental Clinic/Center
28Total paid$931K
24GClaims34,263
24DCodes billed20
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#26 of 188
Median peer was paid$113K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2021 | 1,608 | $45K | |
| 2022 | 6,109 | $167K | |
| 2023 | 10,555 | $296K | |
| 2024incomplete | 15,991 | $422K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 4,906 | 4,897 | $198K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,107 | 1,223 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,527 | 4,520 | $124K |
| D1206 | Topical application of fluoride varnish | 9.0% | 3,743 | 3,736 | $84K |
| D1351 | Sealant - per tooth | 7.9% | 1,845 | 590 | $73K |
| D0272 | Bitewings - two radiographic images | 5.9% | 3,454 | 3,450 | $55K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 464 | 268 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 3,688 | 3,674 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 856 | 579 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 936 | 936 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,808 | 1,806 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 3,075 | 3,071 | $21K |
8 more codes
| D0274 | Bitewings - four radiographic images | 2.1% | 723 | $20K |
| D1110 | Prophylaxis - adult | 2.1% | 364 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 264 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 226 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 15 | $1K |
| D0330 | Panoramic radiographic image | <1% | 15 | $494.00 |
| D0603 | 0% | 1,224 | $0.00 | |
| D1330 | 0% | 23 | $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 officialBLOBSTEIN, SHALOM (DR/OWNER)