Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Lefferts 26 Dentistry PLLC

Lefferts 26 Dentistry PLLC was paid $564K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoLEFFERTS 26 DENTISTRY PLLC
SOUTH RICHMOND HILL, NY 11419
33aNPI1801126339assigned 01/06/2010
28Total paid$564K
24GClaims31,579
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#271 of 2,184
Median peer was paid$54K
This provider vs. median11×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,959$44K
20193,519$60K
20206,035$111K
20215,881$100K
20223,634$66K
20234,842$90K
2024incomplete4,709$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 30% 5,030 5,023 $167K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 5,373 5,359 $102K
D0274 Bitewings - four radiographic images 16% 4,974 4,965 $88K
D0230 Intraoral - periapical each additional radiographic image 9.6% 6,361 6,351 $54K
D0220 Intraoral - periapical first radiographic image 8.1% 5,386 5,378 $45K
D0150 Comprehensive oral evaluation - new or established patient 3.2% 866 865 $18K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.5% 261 151 $14K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.4% 237 166 $14K
D1120 Dental cleaning, childProphylaxis - child 2.1% 397 396 $12K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.0% 141 101 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.0% 342 157 $11K
D1208 Topical application of fluoride, excluding varnish 1.7% 989 983 $10K
4 more codes
D0330 Panoramic radiographic image 1.6% 463 $9K
D0210 Intraoral - complete series of radiographic images <1% 421 $5K
D0140 Limited oral evaluation - problem focused <1% 308 $3K
D9310 <1% 30 $693.67

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 officialKHALILI, FEREYDOUN (OWNER)
Same official

Other billing entities under KHALILI, FEREYDOUN

Full network →
ProviderLocationPaid
Kings Dentistry PCBrooklyn, NY$1.96M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.