Clinic
Ma Dental PC
Ma Dental PC was paid $221K by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoMA DENTAL PC
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1790957637assigned 04/01/2008
33bProvider typeDental Clinic/Center
28Total paid$221K
24GClaims8,515
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#75 of 188
Median peer was paid$113K
This provider vs. median2.0×
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 | 3,240 | $72K | |
| 2019 | 4,248 | $113K | |
| 2020 | 1,027 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 1,232 | 1,221 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,644 | 1,632 | $37K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 307 | 282 | $29K |
| D0274 | Bitewings - four radiographic images | 10% | 942 | 939 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 208 | 187 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.9% | 1,382 | 1,377 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 672 | 667 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 1,476 | 1,466 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 237 | 237 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 415 | 415 | $6K |
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 officialACOSTA, MARIA (OWNER)