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

Greenburgh Kids Dental, PC

Greenburgh Kids Dental, PC was paid $1.32M by Medicaid between Sep 2019 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.

33Billing provider infoGREENBURGH KIDS DENTAL, PC
HARTSDALE, NY 10530
33aNPI1851946271assigned 08/02/2019
33bProvider typePediatric Dentist
28Total paid$1.32M
24GClaims44,629
24DCodes billed20
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#91 of 514
Median peer was paid$196K
This provider vs. median6.7×

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$20K$40K$60K2018201920202021202220232024
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
2019170$3K
2020629$14K
20217,235$206K
202213,415$393K
202312,347$373K
2024incomplete10,833$328K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 10,832 10,831 $253K
D1206 Topical application of fluoride varnish 17% 7,784 7,783 $219K
D1120 Dental cleaning, childProphylaxis - child 16% 6,536 6,536 $216K
D1110 Prophylaxis - adult 14% 4,360 4,360 $183K
D1351 Sealant - per tooth 9.7% 3,408 1,151 $128K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 7.1% 1,140 725 $93K
D0274 Bitewings - four radiographic images 6.5% 3,480 3,480 $85K
D1208 Topical application of fluoride, excluding varnish 3.0% 3,305 3,305 $39K
D0330 Panoramic radiographic image 1.7% 797 797 $23K
D7140 Extraction, erupted tooth or exposed root 1.6% 406 223 $21K
D0272 Bitewings - two radiographic images 1.5% 1,359 1,359 $19K
D2394 1.1% 128 102 $14K
8 more codes
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 139 $7K
D0220 Intraoral - periapical first radiographic image <1% 568 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 81 $4K
D0150 Comprehensive oral evaluation - new or established patient <1% 163 $4K
D2160 <1% 30 $3K
D0140 Limited oral evaluation - problem focused <1% 70 $932.45
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 15 $656.00
D0230 Intraoral - periapical each additional radiographic image <1% 28 $176.24

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 officialKIM, JENNIFER (OWNER)
Same official

Other billing entities under KIM, JENNIFER

Full network →
ProviderLocationPaid
Jennifer Y. Kim MD INCUpland, CA$24K

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