Clinic
Open Door Family Medical Center INC
Open Door Family Medical Center INC was paid $341K by Medicaid between Jun 2019 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER INC
SAUGERTIES, NY 12477
SAUGERTIES, NY 12477
33aNPI1780166645assigned 09/06/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$341K
24GClaims8,612
24DCodes billed14
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#112 of 158
Median peer was paid$1.73M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 524 | $21K | |
| 2020 | 629 | $26K | |
| 2021 | 1,944 | $71K | |
| 2022 | 1,036 | $24K | |
| 2023 | 1,680 | $60K | |
| 2024incomplete | 2,799 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 1,840 | 1,082 | $104K |
| D0140 | Limited oral evaluation - problem focused | 16% | 1,364 | 498 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 1,586 | 457 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 703 | 425 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 907 | 666 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 6.0% | 530 | 200 | $21K |
| D0274 | Bitewings - four radiographic images | 2.6% | 387 | 207 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 102 | 55 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 100 | 52 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 732 | 717 | $4K |
| D4910 | 1.2% | 41 | 30 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 141 | 119 | $992.96 |
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 officialMAZZOTTA, MARIA (CFO)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Open Door Family Medical Center, INC. | Brewster, NY | $2.08M |
| Open Door Family Medical Center School Based Mobile Dental Van | Ossining, NY | $219K |
| Open Door Family Medical Center, INC. | Mount Kisco, NY | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.