Dental
P&R Executive Dental Management INC
P&R Executive Dental Management INC was paid $308K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoP&R EXECUTIVE DENTAL MANAGEMENT INC
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1932453172assigned 11/08/2012
33bProvider typeDentist
28Total paid$308K
24GClaims13,590
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#321 of 1,649
Median peer was paid$49K
This provider vs. median6.2×
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 | 867 | $16K | |
| 2019 | 1,521 | $28K | |
| 2020 | 1,598 | $38K | |
| 2021 | 3,069 | $72K | |
| 2022 | 2,775 | $67K | |
| 2023 | 2,532 | $59K | |
| 2024incomplete | 1,228 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 2,477 | 2,477 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,530 | 2,530 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 834 | 429 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,935 | 1,935 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.5% | 1,827 | 1,825 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 348 | 272 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 1,986 | 1,983 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 666 | 666 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 279 | 279 | $9K |
| D0274 | Bitewings - four radiographic images | 2.3% | 372 | 372 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 236 | 236 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | 12 | $679.20 |
4 more codes
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 officialDIAZ, VERONICA (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Walk in Family Dental Off. | New Rochelle, NY | $770.38 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.