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

Lucky Dental PC

Lucky Dental PC was paid $70K by Medicaid between May 2018 and Dec 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoLUCKY DENTAL PC
REGO PARK, NY 11374
33aNPI1821225822assigned 06/17/2009
33bProvider typeDentist
28Total paid$70K
24GClaims3,495
24DCodes billed11
24AFirst – last monthMay 2018 – Dec 2021
Compared with peers

Next to other Dentist providers in New York

Rank by total paid#727 of 1,649
Median peer was paid$49K
This provider vs. median1.4×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018244$11K
2019504$8K
20201,015$19K
20211,732$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 33% 652 651 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 552 552 $11K
D0220 Intraoral - periapical first radiographic image 10% 828 826 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 8.9% 36 27 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.6% 99 80 $6K
D0230 Intraoral - periapical each additional radiographic image 7.8% 673 671 $5K
D0272 Bitewings - two radiographic images 7.2% 449 448 $5K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 165 164 $4K
D2332 2.9% 16 12 $2K
D0140 Limited oral evaluation - problem focused <1% 13 13 $133.99
D1208 Topical application of fluoride, excluding varnish <1% 12 12 $133.80

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 officialAZBEL, ALEKSANDR (OWNER)