Dental
Galleria Mall Dental PC
Galleria Mall Dental PC was paid $27K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoGALLERIA MALL DENTAL PC
MIDDLETOWN, NY 10941
MIDDLETOWN, NY 10941
33aNPI1932326618assigned 04/20/2007
33bProvider typeDentist
28Total paid$27K
24GClaims7,399
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#972 of 1,649
Median peer was paid$49K
This provider vs. median0.6×
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 | 710 | $5K | |
| 2019 | 853 | $5K | |
| 2020 | 185 | $2K | |
| 2021 | 1,270 | $5K | |
| 2022 | 2,162 | $5K | |
| 2023 | 2,167 | $6K | |
| 2024incomplete | 52 | $269.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 2,145 | 2,143 | $10K |
| D1110 | Prophylaxis - adult | 24% | 811 | 811 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 20% | 1,986 | 1,979 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 1,313 | 1,312 | $2K |
| D0274 | Bitewings - four radiographic images | 6.2% | 614 | 614 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 106 | 106 | $308.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 132 | 132 | $243.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 203 | 203 | $192.40 |
| D0272 | Bitewings - two radiographic images | <1% | 89 | 89 | $173.96 |
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 officialKRASNOV, ROSS (OFFICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Brass Mill Mall Dental L.L.P | Waterbury, CT | $1.26M |
| Town Center Dental of Stamford P.C. | Stamford, CT | $554K |
| Staten Island Mall Dental, P.C. | Staten Island, NY | $289K |
| Hudson Valley Plaza Dental LLP | Troy, NY | $278K |
| Hudson Valley Mall Dental LLP | Kingston, NY | $132K |
| 42ND Street Dental, Associates | New York, NY | $112K |
| Atlantic Terminal Dental, P.C. | Brooklyn, NY | $81K |
| Galleria Mall Dental PC | White Plains, NY | $72K |
| Palisades Mall Dental LLP | West Nyack, NY | $55K |
| Oakdale Mall Dental LLP | Johnson City, NY | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.