Dental
Livingston Mall Dental, PA
Livingston Mall Dental, PA was paid $20K by Medicaid between Jan 2018 and Nov 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.
33Billing provider infoLIVINGSTON MALL DENTAL, PA
LIVINGSTON, NJ 07039
LIVINGSTON, NJ 07039
33aNPI1972665057assigned 12/14/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$20K
24GClaims1,727
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#482 of 790
Median peer was paid$43K
This provider vs. median0.5×
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 | 844 | $10K | |
| 2019 | 534 | $6K | |
| 2020 | 153 | $2K | |
| 2021 | 196 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 627 | 627 | $10K |
| D1110 | Prophylaxis - adult | 25% | 287 | 287 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 256 | 256 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 396 | 395 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 41 | 41 | $1K |
| D0272 | Bitewings - two radiographic images | 2.6% | 93 | 93 | $517.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 14 | 14 | $196.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 13 | $130.00 |
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 officialMIKHAILOV, ALEXANDER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kings Plaza Dental PC | Brooklyn, NY | $153K |
| Roosevelt Field Mall Dental PC | Garden City, NY | $90K |
| New Horizon Dental, P.C | Bronx, NY | $81K |
| Washington Heights Dental Practice, P.C | New York, NY | $73K |
| Newport Centre Dental | Jersey City, NJ | $65K |
| Willowbrook Mall Dental, PA | Wayne, NJ | $9K |
| Monmouth Mall Dental, PA | Eatontown, NJ | $607.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.