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Provider Type Eligible Hospital NameEligible Practitioner First
Name
DENTIST SELENE
DENTIST ELLA
DENTIST LAURO
DENTIST DANIEL
DENTIST MARJORIE
DENTIST ELHAM
DENTIST CAROLE
DENTIST VICTOR
DENTIST PARTH
DENTIST KIMBERLY
Page 1 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Eligible Practitioner LastName
Provider NPI Payee NPI Payment Date
WUN 1578661740 1437231693 05/14/2018
DEKHTYAR 1780788836 1780788836 11/03/2014
MEDRANO-SALDANA 1972573004 1972573004 11/26/2018
KANG 1699756866 1972781375 12/23/2019
BAPTISTE 1255581674 1538111653 06/02/2014
SHADPOUR 1548519960 1396059499 04/16/2018
GERMAIN 1457480337 1457480337 12/11/2019
BADNER 1730268970 1023024882 07/20/2015
SHAH 1093028102 1619969458 04/06/2015
SOLEIMANI 1174842991 1720177066 11/27/2017
Page 2 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Payment Year Participation Year Provider Zip Code County
2016 2 10457 BRONX
2014 1 11234 KINGS
2017 4 11220 KINGS
2018 2 13901 BROOME
2013 1 11220 KINGS
2016 3 11575 NASSAU
2015 2 11226 KINGS
2014 1 10461 BRONX
2014 1 12508 DUTCHESS
2015 3 11249 KINGS
Page 3 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Payee Name Location #New York Zip
CodesCounties
NYS SenateDistricts
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
DEKHTYAR ELLA DDS (40.65642, -
73.950691)
809 2090 31
MEDRANO-SALDANA LAURO F DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
GERMAIN CAROLE DDS (40.65642, -
73.950691)
809 2090 31
NORTH CENTRAL BRONX (40.85589, -
73.868294)
675 2032 52
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
Page 4 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LocalWaterfront
RevitalizationProgram(LWRP)
Communities
School Districts2016.shp
37 176
37 27
37 27
346
37 27
93
37 27
37 176
63
37 27
Page 5 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JUSTIN
DENTIST KEITH
DENTIST SHERINE
DENTIST RACHEL
DENTIST SEEMA
DENTIST DERIK
DENTIST CECELIA
DENTIST MITZ
DENTIST VALENTIN
DENTIST BHARAT
DENTIST MARINA
DENTIST ZEV
DENTIST SIDDIQUR
Page 6 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WU 1285051805 1295729408 06/19/2017
HELLER 1356640551 1366589038 02/18/2019
IBRAHIM 1073720181 1295997724 12/31/2018
KARNI 1043475692 1043475692 02/15/2016
MALIK 1720287964 1720287964 09/16/2013
STUCKER 1336314400 1619969458 03/31/2014
DURANT 1215083282 1215083282 10/14/2013
ALEXIS-EDMOND 1740516525 1740516525 03/23/2015
BAKMAN 1780862078 1912122508 10/14/2013
MANKAD 1760488043 1417027558 05/06/2013
FAINBERG 1174755193 1538111653 03/25/2013
ZELMAN 1801291992 1801291992 01/11/2021
RAHMAN 1033251699 1033251699 10/29/2012
Page 7 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10473 BRONX
2017 3 11215 KINGS
2017 3 11753 NASSAU
2015 1 11234 KINGS
2013 1 10457 BRONX
2013 1 12501 DUTCHESS
2013 1 11238 KINGS
2014 1 10461 BRONX
2013 1 11204 KINGS
2012 1 10457 BRONX
2012 1 11220 KINGS
2016 1 11249 KINGS
2012 1 11211 KINGS
Page 8 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
KARNI RACHEL (40.65642, -
73.950691)
809 2090 31
MALIK SEEMA DDS (40.85589, -
73.868294)
675 2032 52
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
DURANT CECELIA D DDS (40.65642, -
73.950691)
809 2090 31
ALEXIS-EDMOND MITZ-ANN (40.85589, -
73.868294)
675 2032 52
DIRECT DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ZELMAN ZEV (40.65642, -
73.950691)
809 2090 31
RAHMAN SIDDIQUR DDS (40.65642, - 809 2090 31
Page 9 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
93
37 27
37 176
63
37 27
37 176
37 27
37 176
37 27
37 27
37 27
Page 10 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROSSANNA
DENTIST GOVIND
DENTIST RASHED
DENTIST FRANCES
DENTIST MARITZA
DENTIST MARY
DENTIST ALEXANDER
DENTIST AHMAD
DENTIST JUNG
DENTIST IRVING
DENTIST SURENDRA
DENTIST KRISTINA
DENTIST CHARLES
Page 11 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DE LEON 1417142316 1417142316 08/16/2016
BAPAT 1982807244 1295997724 12/31/2018
RASHED 1902897408 1902897408 09/18/2017
MCENTEE 1639225733 1538111653 02/16/2015
REYES 1275507766 1184694291 03/05/2018
ZEBRACKI 1982793311 1912225236 12/22/2014
ROCK 1821136367 1295997724 12/25/2017
HEDAYATI 1407063480 1295997724 08/05/2019
HONG 1073871091 1790787919 01/29/2018
BAUM 1710050505 1720160690 11/20/2019
PATEL 1013907070 1013907070 04/21/2014
GABRILYANTS 1750443362 1750443362 07/25/2016
FORTE 1225064231 1457395766 08/21/2017
Page 12 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11211 KINGS
2017 3 11753 NASSAU
2015 3 11220 KINGS
2014 1 11220 KINGS
2016 2 10453 BRONX
2014 1 14607 MONROE
2016 2 11753 NASSAU
2018 4 11753 NASSAU
2016 1 14214 ERIE
2014 1 12533 DUTCHESS
2014 1 10468 BRONX
2012 1 10462 BRONX
2015 2 14526 MONROE
Page 13 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
DE LEON ROSSANNA DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COMM HLTH CTR BUFFALO INC (42.888143, -
78.795544)
62 2041 63
KIRSHENBAUM PERUSO & KAUFMAN (41.686216, -
73.840468)
1022 2040 30
PATEL SURENDRA R DDS (40.85589, -
73.868294)
675 2032 52
GABRILYANTS KRISTINA DDS (40.85589, -
73.868294)
675 2032 52
UNITY HOSPITAL ROCHESTER (43.161748, - 1666 2093 56
Page 14 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 27
37 27
37 176
50 844
93
93
646
63
37 176
37 176
50 844
Page 15 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NIDAL
DENTIST JEFFREY
DENTIST NATHALIE
DENTIST RONALD
DENTIST PETER
DENTIST JEFFREY
DENTIST ALEXANDER
DENTIST NELFA
DENTIST INGRID
DENTIST MARIA
DENTIST GURINDER
DENTIST GENEVIEVE
DENTIST MARYAM
Page 16 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SALAMEH 1043691157 1295997724 03/27/2017
WEINTRAUB 1649394438 1720177066 04/22/2013
BLANC 1689042004 1417924762 07/03/2017
SALYK 1356314009 1184694291 07/16/2012
GROSS 1922020072 1922020072 09/08/2014
ROUSE 1073711271 1295997724 12/24/2018
MUSHEYEV 1093939365 1184896607 06/17/2019
CESPEDES 1336120559 1336120559 05/06/2013
BARILLAS 1205901915 1205901915 09/24/2012
DILLE 1902986797 1609946821 02/18/2019
WADHWA 1013001460 1831303569 09/07/2015
UZOARU 1720198559 1538111653 07/29/2013
HARIRI 1851627376 1972781375 12/23/2019
Page 17 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11753 NASSAU
2012 2 11249 KINGS
2016 1 12207 ALBANY
2011 1 10453 BRONX
2014 1 10469 BRONX
2017 3 11753 NASSAU
2014 1 10454 BRONX
2012 1 10034 NEW YORK
2012 1 11220 KINGS
2017 4 13601 JEFFERSON
2014 1 12205 ALBANY
2012 1 11220 KINGS
2018 3 13901 BROOME
Page 18 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
WHITNEY M YOUNG HEALTH CENTER (42.678066, -
73.814233)
40 2030 34
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
GROSS PETER DMD (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILLIS DENTAL CARE PLLC (40.85589, -
73.868294)
675 2032 52
CESPEDES NELFA (40.726966, -
74.005966)
737 2095 50
BARILLAS-ARIAS INGRID DDS (40.65642, -
73.950691)
809 2090 31
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 19 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
1 573
37 176
37 176
93
37 176
37 108
37 27
705
1 573
37 27
346
Page 20 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEFFREY
DENTIST PRAVEEN
DENTIST JUANA
DENTIST STEVEN
DENTIST SALVATORE
DENTIST ROSA
DENTIST JAMIE
DENTIST NICOLE
DENTIST MICHAEL
DENTIST ROBIN
DENTIST HUSSEIN
DENTIST OMID
DENTIST CARLOS
Page 21 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEINTRAUB 1649394438 1720177066 09/11/2017
MEHTA 1497730329 1497730329 03/12/2019
LUSTER 1093834848 1750558060 10/06/2017
BACKER 1750479630 1750479630 11/22/2019
COSCIA 1639249964 1619247848 06/09/2014
MEJIA 1245311992 1245311992 09/21/2017
CHARLAND 1063700599 1982674917 11/06/2017
MOONEY 1366535544 1255360517 06/18/2018
WININGER 1841210598 1295997724 12/25/2017
CRAIG 1477692374 1972781375 05/31/2021
ABDELWAHAB 1609833797 1609833797 10/14/2013
ARASTEHMANESH 1831311075 1831311075 04/01/2013
ACOSTA 1831412865 1831412865 04/15/2019
Page 22 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 4 11249 KINGS
2014 1 11209 KINGS
2013 1 11230 KINGS
2015 1 11225 KINGS
2014 1 11563 NASSAU
2012 1 10458 BRONX
2015 2 12010 MONTGOMERY
2016 2 14534 MONROE
2016 2 11753 NASSAU
2020 5 13901 BROOME
2012 1 11226 KINGS
2012 1 11219 KINGS
2014 1 10034 NEW YORK
Page 23 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
MEHTA PRAVEEN RADHEYLAL DDS (40.65642, -
73.950691)
809 2090 31
JUANA E LUSTER DDS PC (40.65642, -
73.950691)
809 2090 31
BACKER STEVEN H DDS (40.65642, -
73.950691)
809 2090 31
ATLANTIC AVENUE DENTAL PC (40.715749, -
73.601185)
1455 2094 6
VALENTINE DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ABDELWAHAB HUSSEIN Y DDS (40.65642, -
73.950691)
809 2090 31
ARASTEHMANESH OMID DDS (40.65642, -
73.950691)
809 2090 31
ACOSTA CARLOS RADHAM DDS (40.726966, - 737 2095 50
Page 24 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
37 27
93
37 176
699
50 844
93
346
37 27
37 27
37 108
Page 25 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JORGE
DENTIST DENA
DENTIST GEOFFREY
DENTIST BRITTANY
DENTIST NATASHA
DENTIST ALLAN
DENTIST JOSEPH
DENTIST RUDOLF
DENTIST ZOHAR
DENTIST GREGORY
DENTIST RORY
DENTIST SUR
DENTIST JAY
Page 26 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MENDIETA 1619967379 1730124025 03/26/2018
HANNA 1982987327 1477764496 01/14/2013
HALBERSTADT 1083719223 1083719223 03/01/2019
MCCROREY 1740606243 1437231693 11/06/2017
JEAN-CHARLES 1396030797 1396059499 09/23/2019
ROFFE 1518009208 1518009208 11/03/2014
RADIX 1891848578 1578612412 01/21/2019
AKILOV 1649316720 1649316720 08/26/2013
PEKER 1104122928 1083623409 01/18/2016
MADDALENA 1033319066 1619969458 03/05/2018
SADOFF 1407822653 1801857172 07/03/2017
LEE 1548463425 1295997724 03/29/2021
BALBER 1750466538 1366589038 07/29/2013
Page 27 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 2 10027 NEW YORK
2012 1 10010 NEW YORK
2014 2 10467 BRONX
2016 1 10456 BRONX
2018 3 11575 NASSAU
2013 3 11520 NASSAU
2017 3 11212 KINGS
2013 1 10034 NEW YORK
2015 1 11210 KINGS
2015 2 12508 DUTCHESS
2016 1 11554 NASSAU
2020 6 11753 NASSAU
2012 1 11215 KINGS
Page 28 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
HALBERSTADT GEOFFREY S DDS (40.85589, -
73.868294)
675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
ROFFE ALLAN DDS (40.715749, -
73.601185)
1455 2094 6
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
AKILOV RUDOLF DDS (40.726966, -
74.005966)
737 2095 50
BE WELL PRIMARY HLTH CARE CTR (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 29 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 176
37 176
93
93
37 27
37 108
37 27
63
93
93
37 27
Page 30 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MAUREEN
DENTIST ERIC
DENTIST IOANA
DENTIST KEI
DENTIST ROBERT
DENTIST SIMERJIT
DENTIST WAYNE
DENTIST STEPHANIE
DENTIST JENNIFER
DENTIST JOSHUA
DENTIST ISMATU
DENTIST HOWARD
DENTIST MAGED
Page 31 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SULLIVAN NASCA 1114908985 1528233616 08/07/2017
ROSENSTOCK 1699742353 1144403734 12/29/2017
SARBESCU 1609088384 1972781375 03/07/2016
LAM 1902874290 1144403734 09/22/2014
GOLDBERGER 1487662870 1366589038 07/29/2013
KAUR 1801023395 1295997724 03/24/2014
HSU 1750392296 1144203498 06/25/2012
DROZ 1356660054 1578612412 08/06/2018
RAWLINS 1861533689 1861533689 08/19/2013
CANTER 1568509149 1568509149 05/28/2018
KAMARA 1023152329 1083716088 10/28/2013
SILVER 1578540381 1578540381 04/26/2018
KARAM 1396884300 1396884300 02/16/2015
Page 32 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 14263 ERIE
2013 1 10462 BRONX
2015 1 13901 BROOME
2013 1 10023 NEW YORK
2012 1 11215 KINGS
2013 1 11753 NASSAU
2011 1 10013 NEW YORK
2016 2 11212 KINGS
2013 1 12601 DUTCHESS
2016 4 11204 KINGS
2013 1 14621 MONROE
2013 1 11211 KINGS
2014 1 10462 BRONX
Page 33 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ERIE COUNTY MEDICAL CTR
CORPORATION
(42.888143, -
78.795544)
62 2041 63
CIRCLE FAMILY DENTAL PC (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CIRCLE FAMILY DENTAL PC (40.726966, -
74.005966)
737 2095 50
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHARLES B WANG COMM HTH CTR I (40.726966, -
74.005966)
737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
RAWLINS JENNIFER A (41.686216, -
73.840468)
1022 2040 30
CANTER JOSHUA JAY DDS (40.65642, -
73.950691)
809 2090 31
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
SILVER HOWARD DDS (40.65642, -
73.950691)
809 2090 31
KARAM MAGED FADEL DDS (40.85589, - 675 2032 52
Page 34 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 176
346
37 108
37 27
93
37 108
37 27
63
37 27
50 844
37 27
37 176
Page 35 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NASSEF
DENTIST SCOTT
DENTIST MICHELLE
DENTIST JOSE
DENTIST BUTLER
DENTIST KEITH
DENTIST KRISHNAN
DENTIST ALEXANDER
DENTIST MICHAEL
DENTIST RUTH
DENTIST ANTHONY
DENTIST BARRY
DENTIST YERANEN
Page 36 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LANCEN 1063615219 1972781375 02/18/2019
ROTHENBERG 1376733410 1851506505 11/18/2013
TRACHTENBERG 1679616353 1679616353 03/13/2017
SANTANA 1942344411 1942344411 03/25/2019
REDD 1346459799 1295997724 09/08/2014
WILLIAMS 1770770794 1437231693 05/30/2016
RAMAMURTHI 1285985028 1295729408 08/25/2014
KIRZHNER 1770661696 1770661696 06/22/2015
WININGER 1841210598 1295997724 02/24/2020
SCHMUELIAN 1821382649 1487630638 09/02/2013
DIMANGO 1215035712 1538111653 02/18/2013
KAHANE 1932313301 1336289842 01/18/2019
SHABTAI 1144328154 1295997724 03/29/2021
Page 37 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 13901 BROOME
2013 1 10016 NEW YORK
2016 1 11229 KINGS
2017 3 11209 KINGS
2014 1 11753 NASSAU
2015 1 10457 BRONX
2013 1 10453 BRONX
2015 1 11236 KINGS
2019 5 11753 NASSAU
2013 1 10457 BRONX
2012 1 11220 KINGS
2014 1 11221 KINGS
2020 6 11753 NASSAU
Page 38 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BARTLEY R LABINER DDS (40.726966, -
74.005966)
737 2095 50
TRACHTENBERG MICHELLE (40.65642, -
73.950691)
809 2090 31
SANTANA JOSE E DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
KIRZHNER ALEXANDER (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
A & B DENTAL PC (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ALEXANDER D MILLER DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 39 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
37 108
37 27
37 27
93
37 176
37 176
37 27
93
37 176
37 27
37 27
93
Page 40 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GEORGE
DENTIST TZIRI
DENTIST MARY
DENTIST ROBERT
DENTIST RAYMOND
DENTIST KRISTINA
DENTIST JEREMY
DENTIST FERNANDO
DENTIST SIDNEY
DENTIST MANUEL
DENTIST FRANCIS
DENTIST ALEKSANDR
DENTIST ERIN
Page 41 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BIRMAN 1346245008 1043374853 12/24/2012
SALAMON 1043469885 1720177066 09/04/2017
MILLER 1407870264 1083716088 08/06/2012
BOGAN 1467576835 1467576835 08/23/2019
SWAINSON 1982862850 1295997724 08/05/2019
SALAVERRY 1376802108 1295997724 03/24/2014
LASSETTER 1457542417 1831303569 09/07/2015
LEON 1093840712 1881991214 10/06/2017
BRAUN 1194928747 1194928747 01/21/2013
BOTANA 1053481143 1134335466 12/31/2012
BARRA 1619192473 1285799684 07/29/2013
IZRAILOV 1528123635 1528123635 08/04/2014
SHOPE 1104145804 1982787537 04/03/2017
Page 42 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 13045 CORTLAND
2015 4 11249 KINGS
2011 1 14605 MONROE
2015 1 10463 BRONX
2018 4 11753 NASSAU
2013 1 11753 NASSAU
2014 1 12205 ALBANY
2013 1 10453 BRONX
2012 1 11219 KINGS
2012 1 14607 MONROE
2012 1 11203 KINGS
2014 1 11229 KINGS
2016 1 14620 MONROE
Page 43 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
FAMILY HLTH NETWRK CENTRAL NY (42.597101, -
76.143291)
362 620 44
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
BOGAN ROBERT DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
DEBORAH NINA DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
BRAUN SIDNEY ARON DDS (40.65642, -
73.950691)
809 2090 31
GENTLE DENTAL CARE OF ROCHESTER
PC
(43.161748, -
77.620143)
1666 2093 56
UCP ASSO OF NYS STATEN IS (40.65642, -
73.950691)
809 2090 31
IZRAILOV ALEKSANDR DDS (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, - 1666 2093 56
Page 44 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
537
37 27
50 844
37 176
93
93
1 573
37 176
37 27
50 844
37 27
37 27
50 844
Page 45 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CYRIL
DENTIST EFRAIM
DENTIST NEDJAT
DENTIST MERELA
DENTIST VINEET
DENTIST CHUN-EN
DENTIST JOLANTA
DENTIST NEAL
DENTIST MOHAMMAD
DENTIST CHRISTINE
DENTIST EUGENE
DENTIST INDU
DENTIST AARON
Page 46 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MEYEROWITZ 1174631774 1982787537 03/27/2017
FUZAILOV 1578841656 1578841656 08/18/2014
BARAVARIAN 1457552838 1295997724 03/24/2014
RIEZA 1164610770 1972781375 12/16/2019
MORE 1336239771 1336239771 04/06/2015
CHIEN 1215007992 1215007992 03/03/2014
DRZYMALSKI 1730170291 1417924762 12/29/2014
JOHNSON 1386717338 1912225236 10/15/2012
SADEGHI 1841431566 1972781375 10/22/2012
DING 1518367721 1063650125 03/14/2016
HERMAN 1912014010 1609048644 10/07/2013
ANILESH 1639239726 1639239726 12/15/2017
BRANDWEIN 1245215425 1366589038 05/28/2018
Page 47 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 14642 MONROE
2014 1 11203 KINGS
2013 1 11753 NASSAU
2018 3 13901 BROOME
2014 2 11213 KINGS
2012 1 10013 NEW YORK
2014 1 12207 ALBANY
2011 1 14607 MONROE
2012 1 13901 BROOME
2015 1 10027 NEW YORK
2013 1 11570 NASSAU
2013 1 10451 BRONX
2016 2 11215 KINGS
Page 48 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
FUZAILOV EFRAIM DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MORE VINEET A DDS (40.65642, -
73.950691)
809 2090 31
CHIEN CHUN-EN (40.726966, -
74.005966)
737 2095 50
WHITNEY M YOUNG HEALTH CENTER (42.678066, -
73.814233)
40 2030 34
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
MANHATTAN AVEUNE FAMILY DENTAL
PLLC
(40.715749, -
73.601185)
1455 2094 6
ANILESH INDU DDS (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 49 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 27
93
346
37 27
37 108
1 573
50 844
346
37 108
93
37 176
37 27
Page 50 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CARMEN
DENTIST EDWARD
DENTIST ADEWALE
DENTIST BHADRESH
DENTIST IVETTA
DENTIST GILDA
DENTIST RICHARD
DENTIST JOSEPH
DENTIST CHANDRA
DENTIST FARSHID
DENTIST LILIYA
DENTIST STEVE
DENTIST GABRIEL
Page 51 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ARZOLA 1730360280 1730360280 06/16/2014
CHALOUH 1780866517 1780866517 07/07/2014
ADEPETU 1326127713 1326127713 10/29/2012
DESAI 1588632616 1588632616 04/21/2014
KROL 1487727269 1487727269 10/26/2017
BARBOUR 1528064946 1417027558 07/29/2013
SMITH 1962558775 1578612412 09/03/2012
DAVIDSON 1164601209 1225201460 05/13/2013
KAUSHIK 1023160124 1295997724 08/05/2019
ASSADERAGHI 1053539650 1053539650 11/18/2013
ETKINA 1063623296 1063623296 12/01/2016
SLOBODSKI 1154409530 1154409530 02/06/2018
ISIOYE 1942281829 1942281829 04/20/2015
Page 52 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10462 BRONX
2013 2 10451 BRONX
2012 1 10470 BRONX
2014 1 11212 KINGS
2013 2 11204 KINGS
2012 1 10457 BRONX
2011 1 11212 KINGS
2012 1 11229 KINGS
2018 4 11753 NASSAU
2013 1 11218 KINGS
2012 1 11218 KINGS
2013 2 11204 KINGS
2014 2 10463 BRONX
Page 53 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ARZOLA CARMEN (40.85589, -
73.868294)
675 2032 52
CHALOUH EDWARD DDS (40.85589, -
73.868294)
675 2032 52
ADEPETU ADEWALE DDS (40.85589, -
73.868294)
675 2032 52
DESAI BHADRESH D DDS (40.65642, -
73.950691)
809 2090 31
KROL IVETTA DDS (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
PEDIATRIC DENTAL ASSOC PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ASSADERAGHI FARSHID DDA (40.65642, -
73.950691)
809 2090 31
ETKINA LILIYA DDS (40.65642, -
73.950691)
809 2090 31
SLOBODSKI STEVE (40.65642, -
73.950691)
809 2090 31
ISIOYE GABRIEL DDS (40.85589, - 675 2032 52
Page 54 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 176
37 27
37 27
37 176
37 27
37 27
93
37 27
37 27
37 27
37 176
Page 55 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GUILLERMO
DENTIST PARMALIER
DENTIST THIERRY
DENTIST ELAINA
DENTIST HEMANTIKA
DENTIST ARTHUR
DENTIST MITCHELL
DENTIST JUDITH
DENTIST BERNADETTE
DENTIST FADEL
DENTIST MIRIAM
DENTIST SARAH
DENTIST ELLIOT
Page 56 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAMOS 1043362106 1043362106 03/19/2018
MURPHY 1699958611 1699958611 04/30/2012
ABITBOL 1407919400 1295997724 02/24/2020
BERD-VERGIER 1154476570 1437231693 04/16/2018
SHAH 1841278694 1841278694 04/29/2013
ABDIYEV 1851560486 1144524976 03/17/2017
TEITELBAUM 1093839706 1427098227 05/02/2016
OLSHIN 1508932237 1073689600 03/19/2018
LINDQUIST 1194740886 1457395766 08/20/2012
CARCAMO 1225136815 1417027558 04/30/2018
RAMIREZ 1508013350 1508013350 08/24/2015
DUNN 1558541557 1619969458 07/02/2012
SABBAGH 1255314639 1639247976 11/04/2013
Page 57 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 13760 BROOME
2011 1 14214 ERIE
2019 5 11753 NASSAU
2015 1 10456 BRONX
2012 1 10451 BRONX
2012 1 11226 KINGS
2015 1 11218 KINGS
2016 6 11545 NASSAU
2011 1 14611 MONROE
2016 2 10456 BRONX
2012 1 10462 BRONX
2011 1 12601 DUTCHESS
2012 1 10463 BRONX
Page 58 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
RAMOS GUILLERMO ENRIQUE (42.122015, -
75.933191)
479 2033 45
MURPHY PARMALIER D DDS PC (42.888143, -
78.795544)
62 2041 63
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
SHAH HEMANTIKA DDS (40.85589, -
73.868294)
675 2032 52
BROOKLYN BRIGHT SMILE DENTAL PC (40.65642, -
73.950691)
809 2090 31
L'REFAUH MED & REHAB CTR.,INC (40.65642, -
73.950691)
809 2090 31
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
RAMIREZ MIRIAM DDS (40.85589, -
73.868294)
675 2032 52
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ELLIOT SABBAGH DDS PC (40.85589, - 675 2032 52
Page 59 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
646
93
37 176
37 176
37 27
37 27
93
50 844
37 176
37 176
63
37 176
Page 60 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AFSHIN
DENTIST IRLENE
DENTIST WINARDO
DENTIST TANU
DENTIST JINYOUNG
DENTIST SOLAFA
DENTIST FETHIYE
DENTIST WILLIAM
DENTIST A NA
DENTIST JEFFREY
DENTIST JEFFREY
DENTIST MICHAEL
DENTIST ALEXANDER
Page 61 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAMAIZADEH 1992981054 1972781375 05/31/2021
SIEGEL 1285812891 1295997724 12/05/2016
LOMBOY 1063620425 1588782650 10/08/2012
PRAKASH 1922336577 1427171966 10/21/2013
JIN 1164654877 1700057650 10/07/2013
FATOUH 1790831212 1790831212 07/08/2016
ERSAN 1508046392 1083716088 09/24/2012
STERN 1184761769 1184761769 07/09/2018
PEREZ-ROBINSON 1710199765 1710199765 01/21/2013
BLEICHER 1902896152 1982694790 06/09/2014
STEIN 1619193661 1619193661 12/15/2014
CAPOZZI 1659679769 1275592693 12/07/2015
GEKHT 1760647044 1366589038 07/29/2013
Page 62 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 5 13901 BROOME
2016 1 11753 NASSAU
2012 1 11520 NASSAU
2012 1 11237 KINGS
2013 1 14048 CHAUTAUQUA
2012 1 10472 BRONX
2011 1 14605 MONROE
2016 4 11204 KINGS
2012 1 10472 BRONX
2013 1 11210 KINGS
2014 1 11207 KINGS
2014 1 11211 KINGS
2012 1 11215 KINGS
Page 63 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CATHOLIC CHARITIES HLTH AADC (40.715749, -
73.601185)
1455 2094 6
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
ABREU & ORTIZ LLP (42.246904, -
79.315313)
1743 2035 57
FATOUH SOLAFA SEDKI (40.85589, -
73.868294)
675 2032 52
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
STERN WILLIAM DDS (40.65642, -
73.950691)
809 2090 31
PEREZ-ROBINSON ANA M DDS (40.85589, -
73.868294)
675 2032 52
ALLEN M BRESSLER DDS PC (40.65642, -
73.950691)
809 2090 31
STEIN JEFFREY H DDS (40.65642, -
73.950691)
809 2090 31
DENTAL SPECIALTY ASSOC PC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 64 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
93
93
37 27
447
37 176
50 844
37 27
37 176
37 27
37 27
37 27
37 27
Page 65 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PETER
DENTIST IRLENE
DENTIST ASYA
DENTIST CATHERINE
DENTIST MICHAEL
DENTIST IRIT
DENTIST SARI
DENTIST ESPERANZA
DENTIST MOSES
DENTIST SANFORD
DENTIST YISKA
DENTIST GREGORY
DENTIST SONIA
Page 66 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MO 1558339705 1558339705 03/19/2018
SIEGEL 1285812891 1295997724 12/31/2018
DOBROVA 1417034869 1417034869 05/12/2014
GOGAN 1669490249 1477850279 03/02/2015
WILSON 1972654192 1972781375 10/22/2012
SUSSMAN MIROCZNIK 1447305065 1720177066 07/30/2018
ROSENWEIN 1750477964 1366589038 07/29/2013
RODRIGUEZ 1437169927 1437169927 03/04/2013
DATSON 1679534580 1679534580 11/18/2013
GERBER 1841289063 1841289063 01/12/2015
DANZIGER 1679853840 1427098227 10/01/2012
TADDEO 1821269937 1477764496 02/02/2015
GRAY 1750583290 1750583290 08/26/2013
Page 67 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 3 11220 KINGS
2017 2 11753 NASSAU
2013 1 11218 KINGS
2014 1 14127 ERIE
2012 1 13901 BROOME
2016 5 11249 KINGS
2012 1 11215 KINGS
2012 1 10468 BRONX
2013 1 11226 KINGS
2013 1 11003 NASSAU
2012 1 11218 KINGS
2014 3 10010 NEW YORK
2013 1 11208 KINGS
Page 68 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
MO PETER PI TAK DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
DOBROVA ASYA DDS (40.65642, -
73.950691)
809 2090 31
DENTAL GROUP PC (42.888143, -
78.795544)
62 2041 63
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
RODRIGUEZ ESPERANZA A DDS (40.85589, -
73.868294)
675 2032 52
DATSON MOSES DAVID DDS (40.65642, -
73.950691)
809 2090 31
GERBER SANFORD N DDS (40.715749, -
73.601185)
1455 2094 6
L'REFAUH MED & REHAB CTR.,INC (40.65642, -
73.950691)
809 2090 31
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
GRAY SONIA ELAINE DDS (40.65642, - 809 2090 31
Page 69 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 27
646
346
37 27
37 27
37 176
37 27
93
37 27
37 108
37 27
Page 70 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOSEPHINE
DENTIST JEFFREY
DENTIST MATTHEW
DENTIST ALEXANDER
DENTIST COURTNEY
DENTIST DWAYNE
DENTIST M
DENTIST MICHAEL
DENTIST IRINA
DENTIST MARY
DENTIST CLAUDIA
DENTIST ROGER
DENTIST MYRNA
Page 71 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SULLIVAN 1467518191 1023024882 11/02/2015
ROUSE 1073711271 1295997724 12/25/2017
BATTISTE 1689846735 1972781375 05/31/2021
ROCK 1821136367 1295997724 02/24/2020
MCLEAN 1619145471 1720257512 10/15/2012
BODIE 1225297575 1497926141 10/21/2013
TANNENBAUM 1639224256 1720177066 08/06/2018
OSBORNE 1033284716 1295729408 05/13/2013
FUZAYLOVA 1720266380 1639247653 07/07/2014
ZEBRACKI 1982793311 1912225236 12/25/2017
PATINO 1033244801 1033244801 05/04/2018
GRANNUM 1003993502 1972781375 09/14/2020
REGINO 1871583013 1073503215 10/21/2013
Page 72 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10461 BRONX
2016 2 11753 NASSAU
2020 5 13901 BROOME
2019 5 11753 NASSAU
2011 1 14226 ERIE
2013 1 11206 KINGS
2016 4 11249 KINGS
2012 1 10473 BRONX
2013 1 11201 KINGS
2016 3 14607 MONROE
2013 1 11580 NASSAU
2019 3 13901 BROOME
2013 1 11206 KINGS
Page 73 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
NORTH CENTRAL BRONX (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
TRU-DENTAL PC (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
PHOENIX HOUSE FOUNDATION INC (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
PATINO CLAUDIA VICTORIA DDS (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
A MASKELL DDS AND S MASKELL DDS PC (40.65642, - 809 2090 31
Page 74 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
346
93
646
37 27
37 27
37 176
37 27
50 844
93
346
37 27
Page 75 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LEONID
DENTIST ABDELHAMED
DENTIST LEE
DENTIST TIMOTHY
DENTIST NAHID
DENTIST PAUL
DENTIST RIDHIMA
DENTIST INDER
DENTIST BENJAMIN
DENTIST DUSTIN
DENTIST SAMEH
DENTIST THOMAS
DENTIST ROBERT
Page 76 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YOFFE 1013992973 1013992973 08/12/2013
TAMARA 1902812134 1902812134 12/29/2017
POLLAN 1851309892 1982787537 09/11/2017
ENTWISTLE 1346273109 1457395766 09/24/2012
NEMAN 1750372371 1750372371 06/11/2018
WESELEY 1255356325 1366589038 03/30/2015
GARG 1053629444 1437231693 11/13/2017
SINGH 1295842136 1144403734 09/22/2014
SELZER 1780835868 1780835868 08/18/2014
SOLIS 1730382367 1730382367 03/11/2013
AKNOUK 1689787947 1689787947 06/22/2015
MORTILLARO 1063536787 1063536787 09/07/2020
GOLIGHTLY 1164731345 1164731345 03/17/2017
Page 77 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10467 BRONX
2013 1 11209 KINGS
2016 1 14642 MONROE
2012 1 14626 MONROE
2013 1 11021 NASSAU
2013 1 11215 KINGS
2016 1 10456 BRONX
2013 1 10462 BRONX
2014 1 11214 KINGS
2012 1 11501 NASSAU
2014 1 10462 BRONX
2019 3 11209 KINGS
2013 1 11206 KINGS
Page 78 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
YOFFE LEONID DDS (40.85589, -
73.868294)
675 2032 52
TIBA DENTAL PC (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
NEMAN NAHID DDS (40.715749, -
73.601185)
1455 2094 6
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
CIRCLE FAMILY DENTAL PC (40.85589, -
73.868294)
675 2032 52
SELZER BENJAMIN (40.65642, -
73.950691)
809 2090 31
SOLIS DUSTIN R DDS (40.715749, -
73.601185)
1455 2094 6
AKNOUK SAMEH H DDS (40.85589, -
73.868294)
675 2032 52
MORTILLARO THOMAS ANTHONY DDS (40.65642, -
73.950691)
809 2090 31
GOLIGHTLY ROBERT (40.65642, - 809 2090 31
Page 79 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
50 844
50 844
93
37 27
37 176
37 176
37 27
93
37 176
37 27
37 27
Page 80 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARNULFO
DENTIST ANDRES
DENTIST JEFFREY
DENTIST ROBIN
DENTIST IVAN
DENTIST GALINA
DENTIST VIKAS
DENTIST NIRUPA
DENTIST TATIANA
DENTIST MICHAEL
DENTIST AHMAD
DENTIST NASSEF
DENTIST M
Page 81 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HERRERA 1649583220 1649583220 09/13/2019
MIRANDA 1821002064 1821002064 12/17/2012
ROUSE 1073711271 1295997724 03/24/2014
CRAIG 1477692374 1972781375 10/30/2017
CHAPLIK 1144491747 1144491747 03/07/2016
FEYNBERG 1184633489 1083623409 05/05/2014
GOEL 1780891846 1780891846 08/20/2012
GANDHI 1497879308 1366507758 12/10/2012
SARKISIAN 1881789857 1538111653 02/18/2013
ACQUISTA 1962529198 1548229958 09/09/2019
HEDAYATI 1407063480 1295997724 04/07/2014
LANCEN 1063615219 1972781375 12/16/2019
TANNENBAUM 1639224256 1720177066 09/23/2019
Page 82 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11553 NASSAU
2012 1 10458 BRONX
2013 1 11753 NASSAU
2016 1 13901 BROOME
2015 1 11201 KINGS
2013 1 11210 KINGS
2011 1 13035 MADISON
2012 1 10460 BRONX
2012 1 11220 KINGS
2014 1 11209 KINGS
2013 1 11753 NASSAU
2018 3 13901 BROOME
2018 6 11249 KINGS
Page 83 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
HERRERA ARNOLFO J (40.715749, -
73.601185)
1455 2094 6
MIRANDA ANDRES (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CHAPLIK IVAN NICHOLAS DDS (40.65642, -
73.950691)
809 2090 31
BE WELL PRIMARY HLTH CARE CTR (40.65642, -
73.950691)
809 2090 31
GOEL VIKAS DDS (42.986917, -
75.720031)
351 2092 46
UCP ASSO OF NYS STATEN IS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 84 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
93
346
37 27
37 27
723
37 176
37 27
37 27
93
346
37 27
Page 85 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WINSTON
DENTIST MORDECHAI
DENTIST DAVID
DENTIST ALLAN
DENTIST BARTLEY
DENTIST FEBUS
DENTIST ALBERT
DENTIST STEVEN
DENTIST MARYAM
DENTIST JESUS
DENTIST REUBEN
DENTIST CHRISTOPHER
DENTIST VICTORIA
Page 86 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BYFIELD 1588729842 1588729842 02/11/2013
GRABER 1467775114 1629391370 12/10/2012
HOU 1659583151 1295997724 03/09/2015
LEBOVITZ 1033324454 1033324454 12/16/2013
LABINER 1780684373 1851506505 11/18/2013
BLECHMAN 1811003676 1811003676 04/20/2015
ELIAV 1629256276 1629256276 11/18/2013
OST 1447395835 1447395835 03/12/2018
HARIRI 1851627376 1972781375 04/22/2019
ALVAREZ 1346239589 1346239589 08/16/2016
YEROSHALMI 1952500613 1952500613 06/23/2014
NOWAK 1942677539 1619191855 08/13/2018
PARK 1689935389 1295997724 12/31/2018
Page 87 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10466 BRONX
2012 1 11210 KINGS
2014 1 11753 NASSAU
2013 1 11230 KINGS
2013 1 10457 BRONX
2014 1 11229 KINGS
2013 1 11222 KINGS
2016 1 11545 NASSAU
2017 2 13901 BROOME
2012 1 10458 BRONX
2014 1 11219 KINGS
2016 1 14052 ERIE
2017 2 11753 NASSAU
Page 88 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BYFIELD WINSTON EARL DMD PC (40.85589, -
73.868294)
675 2032 52
GRABER ORTHODONTICS PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LEBOVITZ ALLAN MARK DDS (40.65642, -
73.950691)
809 2090 31
BARTLEY R LABINER DDS (40.85589, -
73.868294)
675 2032 52
BLECHMAN FEBUS DDS (40.65642, -
73.950691)
809 2090 31
ELIAV ALBERT G (40.65642, -
73.950691)
809 2090 31
OST STEVEN J DMD (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ALVAREZ JESUS M (40.85589, -
73.868294)
675 2032 52
YEROSHALMI REUBEN F DDS (40.65642, -
73.950691)
809 2090 31
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 89 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
93
37 27
37 176
37 27
37 27
93
346
37 176
37 27
646
93
Page 90 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NAZITA
DENTIST CHANINAH
DENTIST JORGE
DENTIST ANGELE
DENTIST DIONNE
DENTIST HAROLD
DENTIST MELISSA
DENTIST INGRID
DENTIST AHMAD
DENTIST SHERINE
DENTIST BHADRESH
DENTIST BRANDON
DENTIST DIANE
Page 91 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AMINPOUR SHAMASH 1780859504 1780859504 05/30/2019
ZWEIHORN 1841317294 1841317294 12/17/2012
MENDIETA 1619967379 1730124025 05/13/2013
DIMITREY 1538378559 1295997724 02/24/2020
FINLAY 1184717597 1225285158 10/11/2019
MOSTEL 1801999347 1801999347 01/06/2014
COPELLA 1316045297 1912225236 01/20/2014
DOWRICH 1982730982 1437231693 05/30/2016
HEDAYATI 1407063480 1295997724 02/24/2020
IBRAHIM 1073720181 1295997724 04/23/2018
DESAI 1588632616 1588632616 04/21/2014
KATZ 1285894592 1295997724 12/31/2018
WONG 1114012135 1538111653 03/11/2013
Page 92 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11021 NASSAU
2012 1 11219 KINGS
2012 1 10032 NEW YORK
2019 5 11753 NASSAU
2015 2 10475 BRONX
2013 1 11559 NASSAU
2013 2 14604 MONROE
2015 1 10456 BRONX
2019 5 11753 NASSAU
2016 2 11753 NASSAU
2014 1 11212 KINGS
2017 2 11753 NASSAU
2012 1 11220 KINGS
Page 93 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
AMINPOUR-SHAMASH NAZITA (40.715749, -
73.601185)
1455 2094 6
ZWEIHORN CHANINAH L DDS (40.65642, -
73.950691)
809 2090 31
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SMILE-SAVERS PEDIATRIC DENTISTRY PC (40.85589, -
73.868294)
675 2032 52
MOSTEL HAROLD DDS (40.715749, -
73.601185)
1455 2094 6
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
DESAI BHADRESH D DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 94 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 108
93
37 176
93
50 844
37 176
93
93
37 27
93
37 27
Page 95 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BHUMIJA
DENTIST IMRAN
DENTIST ARLETTE
DENTIST IGOR
DENTIST JIN
DENTIST JOHN
DENTIST JING YAO
DENTIST ALBERT
DENTIST LIONEL
DENTIST KONRAD
DENTIST FLORA
DENTIST MARGARET
DENTIST JEFFREY
Page 96 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUPTA 1831423953 1982787537 04/03/2017
AHMED 1699954859 1699954859 05/27/2013
KIRK 1316065733 1619191855 06/15/2015
ELIAV 1497924617 1497924617 10/26/2017
SUNG 1942565965 1972781375 12/23/2019
ALBANO 1548389349 1538111653 07/29/2013
YE 1750443958 1912211012 04/16/2018
MATUZA 1619171386 1295997724 02/24/2020
ABITBOL 1497908966 1427098227 10/01/2012
WIKTORZAK 1780864488 1295997724 12/31/2018
BERENSHTEYN 1750367181 1790757987 02/09/2017
YEW 1699181982 1972781375 05/31/2021
ROUSE 1073711271 1295997724 02/24/2020
Page 97 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 14620 MONROE
2012 1 10458 BRONX
2014 1 14217 ERIE
2013 1 11222 KINGS
2018 3 13901 BROOME
2012 1 11220 KINGS
2016 3 11003 NASSAU
2019 5 11753 NASSAU
2012 1 11218 KINGS
2017 3 11753 NASSAU
2013 1 11235 KINGS
2020 5 13901 BROOME
2019 5 11753 NASSAU
Page 98 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
AHMED IMRAN M DDS (40.85589, -
73.868294)
675 2032 52
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
ELIAV IGOR G (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC ELMONT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
L'REFAUH MED & REHAB CTR.,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
F&A SUPERIOR DENTAL PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 99 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 176
646
37 27
346
37 27
93
93
37 27
93
37 27
346
93
Page 100 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YUEHUA
DENTIST WILLIAM
DENTIST DAVID
DENTIST DAMARIS
DENTIST ALEXANDER
DENTIST ALLA
DENTIST JEFFREY
DENTIST SRINIVAS
DENTIST JAMES
DENTIST DAVID
DENTIST MARGARET
DENTIST STEVEN
DENTIST MITZ
Page 101 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUANG 1306001136 1306001136 01/21/2013
STERN 1184761769 1184761769 04/30/2018
PETTI 1841402096 1972781375 10/22/2012
CORDERO 1053427377 1053427377 08/14/2017
ROCK 1821136367 1295997724 08/05/2019
ROKUN 1033196696 1790757987 02/09/2017
WEINTRAUB 1649394438 1720177066 07/30/2018
IRAGAVARAPU 1316225683 1316225683 09/13/2019
WALLETT 1528233269 1528233269 01/05/2015
FRIEDMAN 1639413586 1639413586 11/06/2017
BUELL 1689084642 1184694291 09/11/2017
GREEN 1649326125 1649326125 03/18/2013
ALEXIS-EDMOND 1740516525 1740516525 09/13/2019
Page 102 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11220 KINGS
2015 3 11204 KINGS
2012 1 13901 BROOME
2013 1 10468 BRONX
2018 4 11753 NASSAU
2013 1 11235 KINGS
2016 5 11249 KINGS
2015 1 10457 BRONX
2014 1 11209 KINGS
2015 1 11552 NASSAU
2016 1 10453 BRONX
2012 1 11214 KINGS
2014 1 10461 BRONX
Page 103 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
HUANG YUEHUA EDWARD DDS (40.65642, -
73.950691)
809 2090 31
STERN WILLIAM DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CORDERO DAMARIS A (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
F&A SUPERIOR DENTAL PC (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
IRAGAVARAPU SRINIVAS (40.85589, -
73.868294)
675 2032 52
WALLETT JAMES MICHAEL DDS (40.65642, -
73.950691)
809 2090 31
FRIEDMAN DAVID E DDS (40.715749, -
73.601185)
1455 2094 6
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
GREEN STEVEN J (40.65642, -
73.950691)
809 2090 31
ALEXIS-EDMOND MITZ-ANN (40.85589, - 675 2032 52
Page 104 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
346
37 176
93
37 27
37 27
37 176
37 27
93
37 176
37 27
37 176
Page 105 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JACOB
DENTIST MARIA
DENTIST ANDRES
DENTIST ANDREW
DENTIST MINHUAI
DENTIST NISHITA
DENTIST RUBEN
DENTIST CLAUDIA
DENTIST NEAL
DENTIST NEIL
DENTIST SAKSHI
DENTIST MERELA
DENTIST DANIEL
Page 106 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHEINER 1831257823 1831257823 09/08/2014
ASLANI-BREIT 1629116207 1629116207 09/15/2014
MIRANDA 1821002064 1821002064 02/09/2017
GOLD 1922098698 1588870059 08/24/2015
SHI 1063648863 1508038514 09/07/2015
GANDHI 1356662787 1356662787 09/22/2014
CUETO 1710964986 1710964986 12/30/2013
BOTERO-MONDUL 1710977749 1710977749 11/26/2012
EZRA 1316168453 1316168453 10/09/2017
GORIN 1962502344 1962502344 08/06/2012
GUPTA 1093190423 1982683249 05/21/2018
RIEZA 1164610770 1972781375 09/14/2020
STEINBERG 1831160738 1831160738 09/29/2014
Page 107 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11219 KINGS
2014 1 14620 MONROE
2012 1 10458 BRONX
2011 1 10457 BRONX
2014 1 11220 KINGS
2014 1 10451 BRONX
2013 1 11237 KINGS
2012 1 10033 NEW YORK
2015 2 11557 NASSAU
2011 1 11218 KINGS
2016 1 11219 KINGS
2019 4 13901 BROOME
2014 1 11230 KINGS
Page 108 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
SCHEINER JACOB M DDS (40.65642, -
73.950691)
809 2090 31
ASLANI-BREIT MARIA DDS (43.161748, -
77.620143)
1666 2093 56
MIRANDA ANDRES (40.85589, -
73.868294)
675 2032 52
GOLD ANDREW F DDS (40.85589, -
73.868294)
675 2032 52
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
GANDHI NISHITA (40.85589, -
73.868294)
675 2032 52
CUETO RUBEN DARIO DDS (40.65642, -
73.950691)
809 2090 31
BOTERO-MONDUL CLAUDIA DDS PC (40.726966, -
74.005966)
737 2095 50
EZRA NEAL DDS (40.715749, -
73.601185)
1455 2094 6
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
IRA GRONOWITZ D D S PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
STEINBERG DANIEL JOSEPH DMD (40.65642, - 809 2090 31
Page 109 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
37 176
37 176
37 27
37 176
37 27
37 108
93
37 27
37 27
346
37 27
Page 110 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FARINAZ
DENTIST DHANANJAY
DENTIST BENJAMIN
DENTIST LESLIE
DENTIST YAHAIRA
DENTIST JUAN
DENTIST ROBERT
DENTIST ABID
DENTIST PAUL
DENTIST M M
DENTIST ROBERT
DENTIST ADAM
DENTIST ROGER
Page 111 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MAIRZADEH 1538325865 1427171966 09/15/2014
KELKAR 1588878862 1588878862 03/30/2015
SELZER 1780835868 1780835868 02/07/2019
JOSEPH 1134165434 1396059499 06/08/2020
SERRANO 1346403193 1295997724 04/24/2017
QUINTANAR 1396936506 1033178561 12/10/2018
CHANG 1306969415 1831303569 09/29/2021
RIZVI 1447489455 1447489455 01/06/2014
ROSEN 1699765651 1699765651 08/12/2013
ROB 1972760296 1972760296 09/15/2014
LANE 1306006986 1306006986 04/22/2013
BRISMAN 1790872133 1790872133 06/16/2014
GRANNUM 1003993502 1003993502 05/23/2016
Page 112 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11576 NASSAU
2014 1 11542 NASSAU
2014 1 11214 KINGS
2019 3 11575 NASSAU
2016 1 11753 NASSAU
2017 2 11216 KINGS
2014 1 12205 ALBANY
2013 1 11230 KINGS
2013 1 11550 NASSAU
2014 1 10460 BRONX
2012 1 11216 KINGS
2013 1 10029 NEW YORK
2015 1 11206 KINGS
Page 113 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
PARK DENTAL CARE OF BROOKLYN PLLC (40.715749, -
73.601185)
1455 2094 6
DHANANJAY M KELKAR (40.715749, -
73.601185)
1455 2094 6
SELZER BENJAMIN (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
RIZVI ABID H (40.65642, -
73.950691)
809 2090 31
ROSEN PAUL I DMD (40.715749, -
73.601185)
1455 2094 6
BRONX QUEENS DENTAL CARE PC (40.85589, -
73.868294)
675 2032 52
LANE ROBERT P DDS (40.65642, -
73.950691)
809 2090 31
BRISMAN ADAM (40.726966, -
74.005966)
737 2095 50
GRANNUM ROGER IAN DDS (40.65642, - 809 2090 31
Page 114 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
93
37 27
93
93
37 27
1 573
37 27
93
37 176
37 27
37 108
37 27
Page 115 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GOVIND
DENTIST MARICELLE
DENTIST JOLANTA
DENTIST WILLIAM
DENTIST IVETTA
DENTIST IRIT
DENTIST MOHAMMED
DENTIST GREGORY
DENTIST AHMED
DENTIST IVONNE
DENTIST PAUL
DENTIST JOSHUA
DENTIST BIBEKA
Page 116 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BAPAT 1982807244 1295997724 03/24/2014
ABAYON 1174767511 1982787537 04/03/2017
DRZYMALSKI 1730170291 1417924762 04/16/2018
GELFMAN 1386636587 1538339072 05/07/2012
KROL 1487727269 1487727269 08/18/2014
SUSSMAN MIROCZNIK 1447305065 1720177066 05/07/2012
BAIG 1871827907 1982787537 10/09/2017
TADDEO 1821269937 1477764496 08/21/2017
BEHEIRY 1851667414 1851667414 11/02/2015
ALVAREZ 1164411542 1164411542 12/17/2012
MARKEL 1396976486 1396976486 07/20/2017
BARNETT 1528236056 1942525985 11/25/2013
BHATTARAI KOIRALA 1649538596 1669470019 04/24/2017
Page 117 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2016 1 14620 MONROE
2015 2 12207 ALBANY
2011 1 11223 KINGS
2013 2 11204 KINGS
2011 1 11249 KINGS
2016 1 14620 MONROE
2015 4 10010 NEW YORK
2014 1 11237 KINGS
2012 1 10458 BRONX
2013 1 11753 NASSAU
2012 1 10455 BRONX
2016 1 10467 BRONX
Page 118 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
WHITNEY M YOUNG HEALTH CENTER (42.678066, -
73.814233)
40 2030 34
GELFMAN & BIRNBAUM ORAL SURG (40.65642, -
73.950691)
809 2090 31
KROL IVETTA DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
BEHEIRY AHMED S (40.65642, -
73.950691)
809 2090 31
ALVAREZ IVONNE DDS (40.85589, -
73.868294)
675 2032 52
MARKEL PAUL (40.715749, -
73.601185)
1455 2094 6
OPEN DENTAL PC (40.85589, -
73.868294)
675 2032 52
REFUAH HEALTH CENTER INC (40.85589, - 675 2032 52
Page 119 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
50 844
1 573
37 27
37 27
37 27
50 844
37 108
37 27
37 176
93
37 176
37 176
Page 120 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MINHUAI
DENTIST IVAN
DENTIST MATTHEW
DENTIST BERRY
DENTIST NATASHA
DENTIST RHONA
DENTIST AZITA
DENTIST SONIA
DENTIST NAVID
DENTIST JEFFREY
DENTIST MAIRE
DENTIST TZIRI
DENTIST MIRIAM
Page 121 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHI 1063648863 1508038514 09/03/2019
CHAPLIK 1144491747 1144491747 08/23/2019
BATTISTE 1689846735 1972781375 10/22/2012
STAHL 1780654947 1548367873 06/15/2015
JEAN-CHARLES 1396030797 1396059499 08/23/2021
BILLINGS 1255486726 1255486726 12/05/2016
ELYADERANI 1336400720 1720177066 09/04/2017
SANCHEZ 1659350080 1265596548 05/07/2012
BARADARIAN 1417172610 1366589038 10/07/2013
HUANG 1912223231 1225464910 03/14/2016
LACARRIERE 1639364722 1548229958 09/14/2015
SALAMON 1043469885 1720177066 01/14/2019
RAMIREZ 1508013350 1508013350 05/13/2013
Page 122 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11220 KINGS
2015 1 11201 KINGS
2012 1 13901 BROOME
2014 1 10457 BRONX
2021 6 11575 NASSAU
2016 1 11207 KINGS
2016 1 11249 KINGS
2011 1 10459 BRONX
2012 1 11215 KINGS
2015 1 12601 DUTCHESS
2014 1 11226 KINGS
2017 6 11249 KINGS
2012 1 10462 BRONX
Page 123 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
CHAPLIK IVAN NICHOLAS DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ST BARNABAS HOSPITAL (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
BILLINGS RHONA ANN-MARIE DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
URBAN HEALTH PLAN INC (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
ROYAL SMILE DENTISTRY PC (41.686216, -
73.840468)
1022 2040 30
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
RAMIREZ MIRIAM DDS (40.85589, - 675 2032 52
Page 124 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
346
37 176
93
37 27
37 27
37 176
37 27
63
37 27
37 27
37 176
Page 125 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YERANEN
DENTIST RASHEL
DENTIST PHILIP
DENTIST POURANG
DENTIST SHIRLEY
DENTIST YURY
DENTIST GISELE
DENTIST HARVEY
DENTIST DAVID
DENTIST KEVIN
DENTIST IOANA
DENTIST PAULINA
DENTIST MICHAEL
Page 126 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHABTAI 1144328154 1295997724 12/31/2018
RAHMANI 1124163076 1124163076 09/07/2015
HIRSCHHORN 1487820221 1295997724 02/24/2020
JAHANSHAHI 1598831083 1295997724 05/19/2014
HU 1477840668 1508038514 09/03/2019
BABECK 1235128463 1982683249 01/11/2021
RICHARD 1336581545 1366589038 05/28/2018
HENTELEFF 1124054176 1972781375 09/14/2020
FISHER 1649312265 1649312265 02/15/2018
WALKER 1891089207 1891089207 07/13/2015
SARBESCU 1609088384 1972781375 12/16/2019
JALOCHA 1356449821 1437231693 05/30/2016
SLOMNICKI 1932408523 1427098227 07/02/2012
Page 127 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 3 11753 NASSAU
2014 2 11552 NASSAU
2019 2 11753 NASSAU
2013 1 11753 NASSAU
2014 1 11220 KINGS
2016 1 10473 BRONX
2016 1 11215 KINGS
2019 4 13901 BROOME
2013 1 10462 BRONX
2014 1 11249 KINGS
2018 3 13901 BROOME
2015 1 10456 BRONX
2011 1 11218 KINGS
Page 128 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MONHIAN RASHEL (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
IRA GRONOWITZ D D S PC (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
FISHER DAVID H DDS (40.85589, -
73.868294)
675 2032 52
WALKER KEVIN (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
L'REFAUH MED & REHAB CTR.,INC (40.65642, - 809 2090 31
Page 129 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
93
93
93
37 27
37 176
37 27
346
37 176
37 27
346
37 176
37 27
Page 130 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JANE
DENTIST MAHESH
DENTIST SURENDRA
DENTIST STEPHANIE
DENTIST ROBERT
DENTIST ANKUSH
DENTIST WILLIAM
DENTIST SHALOM
DENTIST YONG
DENTIST NATHANIEL
DENTIST NANCY
DENTIST SAUL
DENTIST SUSAN
Page 131 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TCHILINGUIRIAN 1154490969 1902127897 07/28/2014
SHAH 1225124555 1609962935 06/19/2017
PATEL 1013907070 1013907070 12/08/2017
JULIAN 1750537114 1700057650 11/04/2013
CRABTREE 1053397307 1053397307 09/23/2019
KHANNA 1508192063 1366589038 05/28/2018
LEICHT 1992730758 1598707812 03/18/2013
BLOBSTEIN 1043607559 1043607559 09/04/2017
CHANG 1386704211 1609946821 08/14/2017
SASSON 1720167109 1164693784 09/29/2014
YU 1801021944 1730124025 01/20/2020
MEDNICK 1992779458 1992779458 10/29/2012
HERNANDEZ 1104039981 1538111653 05/13/2013
Page 132 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10463 BRONX
2016 1 11550 NASSAU
2014 1 10468 BRONX
2013 1 10011 NEW YORK
2018 3 14209 ERIE
2016 1 11215 KINGS
2012 1 14420 MONROE
2016 1 11581 NASSAU
2016 1 13601 JEFFERSON
2013 1 11215 KINGS
2018 4 10027 NEW YORK
2012 1 10454 BRONX
2012 1 11220 KINGS
Page 133 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
COHENS GENERAL DENTAL PLLC (40.85589, -
73.868294)
675 2032 52
MAHESH SHAH DENTIST PC (40.715749, -
73.601185)
1455 2094 6
PATEL SURENDRA R DDS (40.85589, -
73.868294)
675 2032 52
ABREU & ORTIZ LLP (40.726966, -
74.005966)
737 2095 50
CRABTREE ROBERT WADE III DDS (42.888143, -
78.795544)
62 2041 63
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
BLOBSTEIN SHALOM (40.715749, -
73.601185)
1455 2094 6
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
LUM AND SASSON PTRS (40.65642, -
73.950691)
809 2090 31
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
MEDNICK SAUL DDS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 134 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 176
37 108
646
37 27
50 844
93
705
37 27
37 108
37 176
37 27
Page 135 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST SLAVA
DENTIST MASHA
DENTIST ANA
DENTIST VALERIE
DENTIST FLORALBA
DENTIST SYDNEY
DENTIST ANGELE
DENTIST SUR
DENTIST RICHARD
DENTIST OFER
DENTIST KONRAD
DENTIST FADEL
Page 136 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OLAN 1881684058 1295997724 12/31/2018
SHAPIRO 1003015926 1003015926 12/16/2013
NYAMUPFUKUDZA 1205088432 1205088432 07/22/2013
ROJAS 1285609594 1285609594 03/25/2013
VENTERINA 1235290321 1083898670 04/30/2018
GARCIA 1205996345 1205996345 08/03/2020
PIGOTT 1982674909 1982674909 02/07/2019
DIMITREY 1538378559 1295997724 12/31/2018
LEE 1548463425 1295997724 01/01/2018
GIDDON 1295796779 1811059728 01/19/2015
COHEN 1881754380 1881754380 05/01/2017
WIKTORZAK 1780864488 1295997724 05/28/2018
CARCAMO 1225136815 1417027558 02/15/2016
Page 137 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 3 11753 NASSAU
2013 1 11797 NASSAU
2012 1 11220 KINGS
2012 1 10463 BRONX
2016 1 11214 KINGS
2019 3 10451 BRONX
2014 1 11552 NASSAU
2017 3 11753 NASSAU
2016 2 11753 NASSAU
2014 1 11201 KINGS
2013 1 10463 BRONX
2016 2 11753 NASSAU
2014 1 10456 BRONX
Page 138 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SHAPIRO SLAVA DDS (40.715749, -
73.601185)
1455 2094 6
NYAMUPFUKUDZA MASHA (40.65642, -
73.950691)
809 2090 31
MARBLE HILL DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
VALERIE VENTERINA DDS PC (40.65642, -
73.950691)
809 2090 31
GARCIA FLORALBA DDS (40.85589, -
73.868294)
675 2032 52
PIGOTT EDWARD SYDNEY DDS PC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HANSON PLACE DENTAL ASSOCIATES LLP (40.65642, -
73.950691)
809 2090 31
COHEN OFFER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, - 675 2032 52
Page 139 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
93
37 27
37 176
37 27
37 176
93
93
93
37 27
37 176
93
37 176
Page 140 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BALU
DENTIST SIDNEY
DENTIST ALLA
DENTIST BORIS
DENTIST SYLWIA
DENTIST ALBERT
DENTIST MARIO
DENTIST ASHU
DENTIST KIEN HUNG
DENTIST MARGARETH
DENTIST MERELA
DENTIST JONELLE
DENTIST BRIAN
Page 141 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KRISHNA 1366737306 1295997724 03/27/2017
STERNBERGER 1285876805 1447298070 04/16/2018
ROKUN 1033196696 1790757987 06/23/2014
BAKMAN 1497898779 1497898779 03/16/2020
ROSTKOWSKI 1063767267 1275592693 09/09/2019
MATUZA 1619171386 1295997724 03/24/2014
TUCHMAN 1275556425 1295997724 08/05/2019
SACHDEV 1477784452 1952423600 03/14/2016
NGUYEN 1831321751 1972781375 09/14/2020
MINTZBERG 1851587570 1952366973 05/11/2017
RIEZA 1164610770 1972781375 02/18/2019
COX 1003057589 1003057589 04/01/2013
KETOVER 1689772196 1689772196 03/04/2013
Page 142 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11753 NASSAU
2016 1 11237 KINGS
2013 1 11235 KINGS
2016 1 11204 KINGS
2014 1 11030 NASSAU
2013 1 11753 NASSAU
2018 4 11753 NASSAU
2016 1 11552 NASSAU
2019 4 13901 BROOME
2013 1 10455 BRONX
2017 2 13901 BROOME
2012 1 11234 KINGS
2012 1 11215 KINGS
Page 143 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
F&A SUPERIOR DENTAL PC (40.65642, -
73.950691)
809 2090 31
BAKMAN BORIS A DDS (40.65642, -
73.950691)
809 2090 31
DENTAL SPECIALTY ASSOC PC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ASHU SACHDEV DDS PC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MODERN ORTHODONTICS PC (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
COX JONELLE L (40.65642, -
73.950691)
809 2090 31
KETOVER BRIAN M DDS (40.65642, - 809 2090 31
Page 144 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 27
37 27
93
93
93
93
346
37 176
346
37 27
37 27
Page 145 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CALIX
DENTIST MICHAEL
DENTIST MEI KWAN
DENTIST DHVANIT
DENTIST AHRIN
DENTIST NEIL
DENTIST NARINDER
DENTIST PRISCILA
DENTIST LONNIE
DENTIST KENNETH
DENTIST DERIK
DENTIST AMRITPAL
DENTIST ROBERT
Page 146 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAMOS-RODRIGUEZ 1598850554 1538111653 04/22/2013
SHAFFER 1043579857 1720177066 08/28/2017
CHANG 1639329162 1902077928 10/08/2012
PATEL 1992968598 1437231693 11/06/2017
HUH 1649524794 1295997724 07/07/2014
MCGOWAN 1063444156 1609048644 10/30/2017
SINGH 1851513618 1295997724 08/05/2019
GUZMAN 1649640285 1447298070 07/30/2018
SLAPAR 1831280940 1982787537 10/09/2017
CHIN 1902853138 1295997724 03/24/2014
STUCKER 1336314400 1619969458 05/28/2018
JOHAR 1497840870 1831303569 09/29/2021
OLAN 1881684058 1295997724 05/03/2021
Page 147 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11220 KINGS
2016 1 11249 KINGS
2011 1 14216 ERIE
2016 1 10457 BRONX
2013 1 11753 NASSAU
2016 1 11222 KINGS
2018 4 11753 NASSAU
2016 1 11237 KINGS
2016 1 14626 MONROE
2013 1 11753 NASSAU
2016 3 12501 DUTCHESS
2014 1 12205 ALBANY
2020 6 11753 NASSAU
Page 148 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
KENMORE QUALITY CARE DENTISTRY (42.888143, -
78.795544)
62 2041 63
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MANHATTAN AVEUNE FAMILY DENTAL
PLLC
(40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 149 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
646
37 176
93
37 27
93
37 27
50 844
93
63
1 573
93
Page 150 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FERNANDO
DENTIST JUDD
DENTIST ROBERTO
DENTIST GOPALSWAMY
DENTIST BARRY
DENTIST ARUN
DENTIST NICOLE
DENTIST STEVE
DENTIST HOWARD
DENTIST ERNEST
DENTIST ROBERT
DENTIST DOREEN
DENTIST FIDEL
Page 151 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEON 1093840712 1881991214 12/16/2013
LESSER 1619022498 1619022498 07/24/2017
PARRA 1790985505 1972781375 05/13/2013
KALYANARAMAN 1447231683 1447231683 04/13/2015
KAHANE 1932313301 1336289842 12/01/2014
SINGH 1548422132 1497926141 10/21/2013
HINCHY 1386905180 1528233616 08/07/2017
SLOBODSKI 1154409530 1154409530 08/18/2014
CHI 1144431768 1144431768 12/29/2017
GOLDMANN 1760603807 1760603807 08/21/2017
REILLY 1487685665 1487685665 08/03/2015
AMEN 1184702060 1366589038 07/29/2013
ABREU-BENITEZ 1396843884 1396843884 10/07/2013
Page 152 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10453 BRONX
2015 3 11557 NASSAU
2012 1 13901 BROOME
2014 1 11216 KINGS
2014 1 11221 KINGS
2013 1 12508 DUTCHESS
2015 1 14215 ERIE
2013 2 11204 KINGS
2013 1 10013 NEW YORK
2015 2 11557 NASSAU
2015 1 14895 ALLEGANY
2012 1 11215 KINGS
2013 1 11520 NASSAU
Page 153 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
DEBORAH NINA DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
LESSER JUDD DDS (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
KALYANARAMAN GOPALSWAMY DDS (40.65642, -
73.950691)
809 2090 31
ALEXANDER D MILLER DDS (40.65642, -
73.950691)
809 2090 31
TRU-DENTAL PC (41.686216, -
73.840468)
1022 2040 30
ERIE COUNTY MEDICAL CTR
CORPORATION
(42.888143, -
78.795544)
62 2041 63
SLOBODSKI STEVE (40.65642, -
73.950691)
809 2090 31
CHI HOWARD CHENG-HAO DDS (40.726966, -
74.005966)
737 2095 50
GOLDMANN ERNEST S DDS (40.715749, -
73.601185)
1455 2094 6
REILLY ROBERT GARY (42.226801, -
78.020567)
1759 2031 57
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
ABREU-BENITEZ FIDEL DDS (40.715749, - 1455 2094 6
Page 154 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
346
37 27
37 27
63
646
37 27
37 108
93
434
37 27
93
Page 155 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DANIEL
DENTIST JASON
DENTIST EMMANUIL
DENTIST YAKOV
DENTIST GREGORY
DENTIST DAVID
DENTIST JESSICA
DENTIST JANICE
DENTIST NICHOLLE
DENTIST DAVID
DENTIST JAEPIL
DENTIST PAVANJIT
DENTIST PAVEL
Page 156 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GATI 1497165930 1295997724 11/09/2015
LIEM 1861558736 1861558736 02/06/2018
TEPER 1790834554 1790834554 09/23/2013
EISENBERGER 1902815244 1902815244 03/25/2013
MADDALENA 1033319066 1619969458 08/25/2014
MASLANSKY 1235278946 1720177066 11/06/2017
LIGHT 1760609994 1528218567 12/10/2012
HARBIN-JOSEPH 1467533968 1083716088 10/14/2013
SHON 1134356371 1245334564 12/09/2013
MASLANSKY 1235278946 1720177066 01/14/2019
KIM 1215241989 1972781375 01/14/2013
CHHABRA 1487795365 1487795365 03/17/2014
NIDERMAN 1992794267 1992794267 02/17/2014
Page 157 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11753 NASSAU
2013 2 11204 KINGS
2013 1 11229 KINGS
2012 1 11243 KINGS
2013 1 12508 DUTCHESS
2015 4 11249 KINGS
2012 1 10457 BRONX
2013 1 14605 MONROE
2013 1 10468 BRONX
2017 6 11249 KINGS
2012 1 13901 BROOME
2013 1 11550 NASSAU
2013 1 11201 KINGS
Page 158 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LIEM JASON DDS (40.65642, -
73.950691)
809 2090 31
TEPER EMMANUIL S (40.65642, -
73.950691)
809 2090 31
EISENBERGER YAKOV S DDS (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
COMFORT DENTAL CARE (40.85589, -
73.868294)
675 2032 52
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
LDFCB DENTISTRY LLC (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CHHABRA PAVANJIT (40.715749, -
73.601185)
1455 2094 6
NIDERMAN PAVEL DDS (40.65642, - 809 2090 31
Page 159 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 27
37 27
63
37 27
37 176
50 844
37 176
37 27
346
93
37 27
Page 160 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SIDDIQUR
DENTIST MAIRAJ
DENTIST VINCENT
DENTIST AMRITPAL
DENTIST IGOR
DENTIST LEONID
DENTIST TRISTAN
DENTIST BRANDON
DENTIST DAVID
DENTIST DIVAKAR
DENTIST FRANK
DENTIST DAVID
DENTIST KYLE
Page 161 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAHMAN 1033251699 1033251699 09/23/2013
AHMED 1114063930 1114063930 08/23/2019
FILANOVA 1346376118 1417924762 12/29/2014
JOHAR 1497840870 1831303569 09/07/2015
TITOV 1902881964 1902881964 10/06/2014
LEVIT 1861547663 1861547663 08/12/2013
LUE 1740459023 1063650125 01/28/2013
KATZ 1285894592 1295997724 03/29/2021
MASLANSKY 1235278946 1720177066 07/13/2015
CHOKSHI 1356313159 1578612412 01/28/2019
SY 1689982555 1295997724 01/25/2016
LEVY 1811031420 1982787537 03/27/2017
WHITE 1720125537 1720125537 07/08/2013
Page 162 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 11211 KINGS
2014 1 10462 BRONX
2014 1 12010 MONTGOMERY
2014 1 12205 ALBANY
2014 1 11225 KINGS
2013 1 11218 KINGS
2011 1 10027 NEW YORK
2020 5 11753 NASSAU
2014 3 11249 KINGS
2017 2 11212 KINGS
2015 1 11753 NASSAU
2016 1 14620 MONROE
2012 1 11550 NASSAU
Page 163 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
RAHMAN SIDDIQUR DDS (40.65642, -
73.950691)
809 2090 31
AHMED MAIRAJ KARIM DDS (40.85589, -
73.868294)
675 2032 52
WHITNEY M YOUNG HEALTH CENTER (42.933637, -
74.341972)
1221 624 36
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
TITOV IGOR DDS (40.65642, -
73.950691)
809 2090 31
LEVIT LEONID DDS (40.65642, -
73.950691)
809 2090 31
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
WHITE KYLE JEFFERSON (40.715749, - 1455 2094 6
Page 164 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
699
1 573
37 27
37 27
37 108
93
37 27
37 27
93
50 844
93
Page 165 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST OREN
DENTIST RUBEN
DENTIST JOHN
DENTIST THIERRY
DENTIST FRANK
DENTIST IRVING
DENTIST CHANDRA
DENTIST ADESUWA
DENTIST KIMBERLY
DENTIST THIERRY
DENTIST KEVIN
DENTIST KOOROSH
DENTIST FRANK
Page 166 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WACHSTOCK 1063754950 1760724967 11/27/2017
MORONTA 1427034545 1427034545 06/16/2014
HANSFORD 1386931095 1386931095 09/11/2017
ABITBOL 1407919400 1295997724 08/05/2019
KIRKLAND 1689701971 1689701971 09/19/2019
BAUM 1710050505 1720160690 11/02/2015
KAUSHIK 1023160124 1295997724 07/02/2018
BELLO 1144557281 1669568465 08/20/2018
SOLEIMANI 1174842991 1720177066 07/30/2018
ABITBOL 1407919400 1295997724 01/01/2018
BUYCK 1316918311 1982674917 03/16/2015
SHAMTOUB 1205819919 1962783779 01/06/2014
HERAVI 1730170721 1730170721 05/30/2019
Page 167 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10457 BRONX
2013 1 10455 BRONX
2016 1 11222 KINGS
2018 4 11753 NASSAU
2015 2 11225 KINGS
2014 1 12533 DUTCHESS
2016 2 11753 NASSAU
2016 1 13140 CAYUGA
2016 4 11249 KINGS
2016 2 11753 NASSAU
2014 2 12010 MONTGOMERY
2013 1 11236 KINGS
2014 1 11040 NASSAU
Page 168 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
GLICK DENTAL ASSOCIATE PLLC (40.85589, -
73.868294)
675 2032 52
MORONTA TERJO RUBEN D (40.85589, -
73.868294)
675 2032 52
HANSFORD JOHN TIMOTHY DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
KIRKLAND FRANK DUANE DDS (40.65642, -
73.950691)
809 2090 31
KIRSHENBAUM PERUSO & KAUFMAN (41.686216, -
73.840468)
1022 2040 30
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
FINGER LAKES MIGRANT HLTH (42.940095, -
76.560755)
343 618 43
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
KOOROSH SHAMTOUB DDS PC (40.65642, -
73.950691)
809 2090 31
HERAVI FRANK MOZAFAR DDS (40.715749, - 1455 2094 6
Page 169 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 27
93
37 27
63
93
660
37 27
93
699
37 27
93
Page 170 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DARWIN
DENTIST MICHAEL
DENTIST HELEN
DENTIST RENA
DENTIST NELFA
DENTIST SONNY
DENTIST SYED
DENTIST LILIYA
DENTIST LORIS
DENTIST ROBERTO
DENTIST ROBERT
DENTIST RONALD
DENTIST LE
Page 171 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAYES 1932227121 1437231693 05/07/2018
GELFMAN 1548439805 1831303569 09/07/2015
IBRAHIM 1508854688 1790787919 05/19/2014
KRAVITZ 1699761411 1043224355 08/17/2015
CESPEDES 1336120559 1336120559 04/15/2019
KHANNA 1306830971 1083716088 04/07/2014
ALI 1942412218 1942412218 04/22/2013
ETKINA 1063623296 1063623296 07/08/2013
ABRAHAM 1972714699 1295997724 02/24/2020
PARRA 1790985505 1972781375 05/31/2021
LACARRUBBA 1295767598 1720257512 10/15/2012
BRYANT 1306937719 1538111653 02/18/2013
NGUYEN 1861642852 1417924762 12/29/2014
Page 172 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 2 10457 BRONX
2014 1 12205 ALBANY
2013 1 14214 ERIE
2014 1 11219 KINGS
2014 2 10034 NEW YORK
2013 1 14605 MONROE
2012 1 10452 BRONX
2012 1 11218 KINGS
2019 5 11753 NASSAU
2020 5 13901 BROOME
2011 1 14226 ERIE
2012 1 11220 KINGS
2014 1 12210 ALBANY
Page 173 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
COMM HLTH CTR BUFFALO INC (42.888143, -
78.795544)
62 2041 63
KINGS COUNTY HOSPITAL CENTER (40.65642, -
73.950691)
809 2090 31
CESPEDES NELFA (40.726966, -
74.005966)
737 2095 50
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
SYED MONZURUL ALI DDS (40.85589, -
73.868294)
675 2032 52
ETKINA LILIYA DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
WHITNEY M YOUNG HEALTH CENTER (42.678066, - 40 2030 34
Page 174 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
1 573
646
37 27
37 108
50 844
37 176
37 27
93
346
646
37 27
1 573
Page 175 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KEE
DENTIST JING YAO
DENTIST HUGH
DENTIST STEPHEN
DENTIST SEAN
DENTIST CARLOS
DENTIST VASILIKI
DENTIST ROSA
DENTIST ASHU
DENTIST ROMAN
DENTIST SCOTT
DENTIST ALEXIS
DENTIST FRANK
Page 176 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KWAK 1912161902 1669470019 07/09/2012
YE 1750443958 1962716050 03/09/2015
POLLACK 1447305073 1720177066 05/07/2012
SCOTTO 1447564224 1366589038 06/18/2018
MASKELL 1841280070 1073503215 10/21/2013
ACOSTA 1831412865 1831412865 11/02/2015
KARLIS 1700947793 1073535027 05/09/2016
MEJIA 1245311992 1245311992 04/15/2013
SACHDEV 1477784452 1952423600 02/18/2019
AKILOV 1780721951 1780721951 08/05/2013
LEVY 1477878403 1730124025 07/30/2018
GHANEM 1700164381 1982787537 10/02/2017
HERAVI 1730170721 1730170721 12/01/2014
Page 177 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2011 1 10458 BRONX
2014 1 11575 NASSAU
2011 1 11249 KINGS
2016 2 11215 KINGS
2013 1 11206 KINGS
2014 1 10034 NEW YORK
2015 1 10016 NEW YORK
2012 1 10458 BRONX
2017 2 11552 NASSAU
2013 1 10034 NEW YORK
2016 1 10027 NEW YORK
2016 1 14620 MONROE
2014 1 11040 NASSAU
Page 178 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.814233)
REFUAH HEALTH CENTER INC (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
ACOSTA CARLOS RADHAM DDS (40.726966, -
74.005966)
737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
VALENTINE DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
ASHU SACHDEV DDS PC (40.715749, -
73.601185)
1455 2094 6
AKILOV ROMAN L (40.726966, -
74.005966)
737 2095 50
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
HERAVI FRANK MOZAFAR DDS (40.715749, - 1455 2094 6
Page 179 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 27
37 27
37 27
37 108
37 108
37 176
93
37 108
37 108
50 844
93
Page 180 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARIA
DENTIST ERIC
DENTIST ALEXANDER
DENTIST BRANDON
DENTIST JAGDISH
DENTIST PHILLIP
DENTIST MATTHEW
DENTIST LINDA
DENTIST JOSE
DENTIST ROBERT
DENTIST HEBRI
DENTIST YAKDIEL
DENTIST PETER
Page 181 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CAMPOS 1003016338 1295997724 03/24/2014
PLOUMIS 1659599199 1659599199 08/24/2015
MUSHEYEV 1093939365 1184896607 04/13/2015
KATZ 1285894592 1295997724 02/24/2020
MARKALE 1639144223 1639144223 06/26/2017
ROSENBERG 1457564569 1457564569 08/24/2015
BATTISTE 1689846735 1972781375 02/18/2019
JONES 1962437087 1962437087 10/28/2013
SANTANA 1942344411 1942344411 10/01/2018
KORNGUT 1841377736 1366589038 07/29/2013
BALLAL 1720098072 1124032982 07/27/2015
JIMENEZ 1467425462 1184694291 03/05/2018
LOFURNO 1255368262 1457395766 09/18/2017
Page 182 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2012 1 11237 KINGS
2014 1 10454 BRONX
2019 4 11753 NASSAU
2012 1 10452 BRONX
2013 1 11219 KINGS
2017 2 13901 BROOME
2013 1 14621 MONROE
2016 2 11209 KINGS
2012 1 11215 KINGS
2014 1 11235 KINGS
2016 2 10453 BRONX
2015 2 14526 MONROE
Page 183 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
PLOUMIS ERIC J DMD (40.65642, -
73.950691)
809 2090 31
WILLIS DENTAL CARE PLLC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARKALE JAGDISH NARHAR (40.85589, -
73.868294)
675 2032 52
ROSENBERG PHILIP DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
JONES LINDA E DDS (43.161748, -
77.620143)
1666 2093 56
SANTANA JOSE E DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
CONEY ISLAND HOSPITAL (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
UNITY HOSPITAL ROCHESTER (43.161748, - 1666 2093 56
Page 184 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 176
93
37 176
37 27
346
50 844
37 27
37 27
37 27
37 176
50 844
Page 185 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST VIKAS
DENTIST OLEG
DENTIST ROBERT
DENTIST JORGE
DENTIST ROBERT
DENTIST NEIL
DENTIST STEVEN
DENTIST RENEIDA
DENTIST ARTHUR
DENTIST PATRICE
DENTIST PHILIP
DENTIST MORRIS
DENTIST PEDRO
Page 186 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GOEL 1780891846 1780891846 04/29/2013
DRUT 1619987757 1164575478 10/07/2013
OLAN 1881684058 1295997724 08/11/2014
QUEZADA 1245407824 1245407824 01/18/2019
SCHECTER 1053595678 1053595678 11/02/2018
D'LIMA 1346301017 1134335466 12/31/2012
BACKER 1750479630 1750479630 12/21/2015
REYES 1669543237 1366589038 03/30/2015
SEKULER 1316062946 1548229958 09/09/2019
FERGUSON 1174702609 1396059499 07/03/2017
ZAVELOFF 1881746808 1720177066 09/23/2019
FEINBERG 1417152455 1417152455 10/07/2013
MATEO 1871658815 1871658815 08/24/2015
Page 187 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 13035 MADISON
2013 1 11223 KINGS
2014 1 11753 NASSAU
2014 1 11542 NASSAU
2014 1 11550 NASSAU
2012 1 14607 MONROE
2015 1 11225 KINGS
2013 1 11215 KINGS
2014 1 11566 NASSAU
2016 1 11575 NASSAU
2018 6 11249 KINGS
2013 1 12901 CLINTON
2012 1 11232 KINGS
Page 188 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
GOEL VIKAS DDS (42.986917, -
75.720031)
351 2092 46
ORTHOCLUB PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
QUEZADA JORGE A DDS (40.715749, -
73.601185)
1455 2094 6
SCHECTER ROBERT CHARLES (40.715749, -
73.601185)
1455 2094 6
GENTLE DENTAL CARE OF ROCHESTER
PC
(43.161748, -
77.620143)
1666 2093 56
BACKER STEVEN H DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
METROPOLITAN DENTAL ASSOC DDS (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
FEINBERG MORRIS E DMD (44.731944, -
73.548883)
202 2038 35
MATEO PEDRO DDS (40.65642, - 809 2090 31
Page 189 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
723
37 27
93
93
93
50 844
37 27
37 27
93
93
37 27
920
37 27
Page 190 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JANICE
DENTIST JUANA
DENTIST IRA
DENTIST JAEJIN
DENTIST ROBIN
DENTIST HOWARD
DENTIST AHMED
DENTIST AUFAUGH
DENTIST MARIO
DENTIST SHARON
DENTIST JOHN
DENTIST MARINA
DENTIST DIONNE
Page 191 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TANG 1801066840 1144203498 09/24/2012
LUSTER 1093834848 1750558060 05/05/2014
GRONOWITZ 1679735062 1679735062 01/18/2019
HONG 1508012667 1508012667 09/16/2013
CRAIG 1477692374 1972781375 01/06/2020
BOGAN 1619947025 1619947025 02/14/2020
NOUR-EL-DEEN 1801949078 1295997724 03/24/2014
EMAM 1548517576 1063650125 12/14/2015
TUCHMAN 1275556425 1295997724 12/25/2017
DISTANT JOHNSON 1730170457 1730170457 03/24/2014
MCINTYRE 1992708689 1366589038 05/28/2018
DRABKINA 1023097722 1154592020 11/03/2017
FINLAY 1184717597 1225285158 06/26/2017
Page 192 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10013 NEW YORK
2013 1 11230 KINGS
2014 1 11214 KINGS
2013 1 10461 BRONX
2018 3 13901 BROOME
2015 1 11221 KINGS
2013 1 11753 NASSAU
2015 1 10027 NEW YORK
2016 2 11753 NASSAU
2013 1 10466 BRONX
2016 2 11215 KINGS
2013 1 11224 KINGS
2013 1 10475 BRONX
Page 193 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
CHARLES B WANG COMM HTH CTR I (40.726966, -
74.005966)
737 2095 50
JUANA E LUSTER DDS PC (40.65642, -
73.950691)
809 2090 31
GRONOWITZ IRA ELLIOT DDS (40.65642, -
73.950691)
809 2090 31
HONG JAEJIN DDS (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BOGAN HOWARD A DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRIGHT SMILES DENTAL PLLC (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
GULMAR DENTAL PC (40.65642, -
73.950691)
809 2090 31
SMILE-SAVERS PEDIATRIC DENTISTRY PC (40.85589, - 675 2032 52
Page 194 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 27
37 176
346
37 27
93
37 108
93
37 176
37 27
37 27
37 176
Page 195 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST REGINA
DENTIST ERIC
DENTIST SOON
DENTIST MARTIN
DENTIST ARKADY
DENTIST TYRA
DENTIST KIRAN
DENTIST ZEV
DENTIST YANFANG
DENTIST BIANCA
DENTIST FARSHID
DENTIST GABRIEL
DENTIST LESLIE
Page 196 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HENDRICKS 1790099075 1699076083 10/06/2017
CHANG 1568773687 1144203498 07/02/2012
KWON 1194984773 1437231693 05/14/2018
KIMMEL 1699784876 1417027558 11/25/2013
PAVLOV 1992827075 1992827075 09/10/2012
JEFFERSON 1467618512 1225201460 05/13/2013
PARIKH 1245214758 1245214758 01/12/2015
ZELMAN 1801291992 1801291992 09/03/2018
REN 1528214319 1982787537 10/09/2017
FREDERICK 1881950053 1437231693 11/06/2017
ASSADERAGHI 1053539650 1053539650 08/13/2018
PROULX 1386058550 1912225236 01/22/2018
COHEN 1801870241 1801870241 12/17/2012
Page 197 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11040 NASSAU
2011 1 10013 NEW YORK
2016 2 10456 BRONX
2013 1 10456 BRONX
2011 1 11235 KINGS
2012 1 11229 KINGS
2014 1 11550 NASSAU
2016 1 11249 KINGS
2016 1 14620 MONROE
2016 1 10456 BRONX
2013 1 11218 KINGS
2016 3 14510 LIVINGSTON
2012 1 11219 KINGS
Page 198 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
URBAN PEDIATRIC DENTAL PC (40.715749, -
73.601185)
1455 2094 6
CHARLES B WANG COMM HTH CTR I (40.726966, -
74.005966)
737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
PAVLOV ARKADY (40.65642, -
73.950691)
809 2090 31
PEDIATRIC DENTAL ASSOC PC (40.65642, -
73.950691)
809 2090 31
PARIKH KIRAN HASMUKHLAL DDS (40.715749, -
73.601185)
1455 2094 6
ZELMAN ZEV (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
ASSADERAGHI FARSHID DDA (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (42.763754, -
77.765392)
232 2091 59
COHEN LESLIE JEAN (40.65642, - 809 2090 31
Page 199 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 108
37 176
37 176
37 27
37 27
93
37 27
50 844
37 176
37 27
645
37 27
Page 200 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KEI
DENTIST GITANJALI
DENTIST JIM
DENTIST TASHORN
DENTIST SEEMA
DENTIST DAVID
DENTIST SHEEBA
DENTIST ARTHUR
DENTIST MELINDA
DENTIST DAVID
DENTIST SIMERJIT
DENTIST AHMED
DENTIST LESTER
Page 201 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LAM 1902874290 1144403734 12/29/2017
RAJENDRAM 1962694125 1184694291 09/25/2017
GHARDA 1184843211 1295997724 12/31/2018
GOMEZ 1043635071 1437231693 11/13/2017
MALIK 1720287964 1720287964 09/05/2018
GARFINKEL 1801997333 1578625950 01/21/2013
CHAUDHRY 1497060438 1619969458 05/28/2018
ABDIYEV 1851560486 1144524976 09/30/2013
SHERIDAN-VIQUEZ 1346452158 1295997724 03/27/2017
FRAY 1902102783 1083716088 09/10/2012
KAUR 1801023395 1295997724 02/24/2020
BEHEIRY 1851667414 1851667414 03/12/2019
TOPOROVSKY 1144264607 1811059728 10/25/2019
Page 202 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10023 NEW YORK
2016 1 10453 BRONX
2017 3 11753 NASSAU
2016 1 10456 BRONX
2013 1 10457 BRONX
2012 1 11236 KINGS
2016 3 12601 DUTCHESS
2012 1 11226 KINGS
2016 1 11753 NASSAU
2011 1 14605 MONROE
2019 5 11753 NASSAU
2014 1 11237 KINGS
2014 1 11201 KINGS
Page 203 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
CIRCLE FAMILY DENTAL PC (40.726966, -
74.005966)
737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
MALIK SEEMA DDS (40.85589, -
73.868294)
675 2032 52
FIRST MEDCARE PRIMARY CARE (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
BROOKLYN BRIGHT SMILE DENTAL PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BEHEIRY AHMED S (40.65642, -
73.950691)
809 2090 31
HANSON PLACE DENTAL ASSOCIATES LLP (40.65642, - 809 2090 31
Page 204 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
93
37 176
37 176
37 27
63
37 27
93
50 844
93
37 27
37 27
Page 205 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARK
DENTIST ADELA
DENTIST ROBERT
DENTIST HUNG
DENTIST KAREEM
DENTIST MARC
DENTIST RAMESH
DENTIST OLGA
DENTIST PETER
DENTIST DAVID
DENTIST LIA
DENTIST KENNETH
DENTIST FELIX
Page 206 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
APFEL 1437204054 1720177066 08/06/2018
GUSET 1780991695 1255360517 12/23/2019
LORBER 1588701320 1588701320 05/12/2014
NGUYEN 1831321751 1972781375 02/18/2019
FATOUH 1295981157 1295981157 10/08/2012
KUNIN 1013015643 1538111653 02/18/2013
VINJAMURI 1689781833 1689781833 06/16/2014
CELLERI-PINCUS 1144232877 1881028108 07/02/2018
MO 1558339705 1558339705 09/14/2020
HOU 1659583151 1295997724 12/25/2017
DATIKASHVILI 1780977926 1548558836 12/30/2013
COOPERMAN 1427361872 1952366973 10/21/2013
RODRIGUEZ 1164515649 1164515649 09/24/2012
Page 207 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 5 11249 KINGS
2018 3 14621 MONROE
2013 1 11205 KINGS
2017 2 13901 BROOME
2012 1 10472 BRONX
2012 1 11220 KINGS
2014 1 10455 BRONX
2016 2 11520 NASSAU
2019 4 11220 KINGS
2016 2 11753 NASSAU
2013 1 10451 BRONX
2013 1 10455 BRONX
2012 1 10468 BRONX
Page 208 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
LORBER ROBERT DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
FATOUH KAREEM SAMY DDS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
VINJAMURI RAMESH KUMAR DDS (40.85589, -
73.868294)
675 2032 52
SOUTH OCEAN CARE LLC (40.715749, -
73.601185)
1455 2094 6
MO PETER PI TAK DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GLAD DENTAL PC (40.85589, -
73.868294)
675 2032 52
MODERN ORTHODONTICS PC (40.85589, -
73.868294)
675 2032 52
RODRIGUEZ FELIX JUAN DDS (40.85589, - 675 2032 52
Page 209 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
37 27
346
37 176
37 27
37 176
93
37 27
93
37 176
37 176
37 176
Page 210 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SHERINE
DENTIST DARA
DENTIST OLGA
DENTIST DAVID
DENTIST LEONID
DENTIST ROBERT
DENTIST TYLER
DENTIST KEVIN
DENTIST AFSHIN
DENTIST MARGARET
DENTIST BRUCE
DENTIST SUR
DENTIST ALLAN
Page 211 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
IBRAHIM 1073720181 1295997724 03/24/2014
WEINER 1336378900 1245334564 12/02/2013
CELLERI-PINCUS 1144232877 1396059499 08/02/2021
HOU 1659583151 1295997724 02/24/2020
YOFFE 1013992973 1013992973 08/14/2017
LORBER 1588701320 1588701320 02/08/2018
GROSSO 1477641835 1639247653 07/07/2014
BUYCK 1316918311 1982674917 06/03/2013
SHAMAIZADEH 1992981054 1972781375 02/18/2019
YEW 1699181982 1972781375 09/14/2020
CHUBAK 1902979362 1902979362 09/24/2012
LEE 1548463425 1295997724 08/05/2019
ROFFE 1518009208 1518009208 08/24/2015
Page 212 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2013 1 11215 KINGS
2021 5 11575 NASSAU
2019 5 11753 NASSAU
2013 1 10467 BRONX
2013 1 11205 KINGS
2013 1 11201 KINGS
2012 1 12010 MONTGOMERY
2017 2 13901 BROOME
2019 4 13901 BROOME
2012 1 11219 KINGS
2018 4 11753 NASSAU
2011 1 11520 NASSAU
Page 213 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LDFCB DENTISTRY LLC (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
YOFFE LEONID DDS (40.85589, -
73.868294)
675 2032 52
LORBER ROBERT DDS (40.65642, -
73.950691)
809 2090 31
PHOENIX HOUSE FOUNDATION INC (40.65642, -
73.950691)
809 2090 31
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CHUBAK BRUCE DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ROFFE ALLAN DDS (40.715749, - 1455 2094 6
Page 214 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
93
93
37 176
37 27
37 27
699
346
346
37 27
93
93
Page 215 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PRAVIN
DENTIST IRKYAM
DENTIST ELHAM
DENTIST AMALYA
DENTIST LESLIE
DENTIST KIRK
DENTIST NIRMOLRATTAN
DENTIST DOV
DENTIST NEIL
DENTIST OLEG
DENTIST ANDREW
DENTIST ELA
DENTIST SASAN
Page 216 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PANDHI 1508874355 1508874355 05/30/2016
AULOVA 1871612838 1871612838 07/28/2014
SHADPOUR 1548519960 1396059499 02/01/2021
IGITYAN 1720377153 1295997724 08/05/2019
JOSEPH 1134165434 1730124025 05/13/2013
SOODOO 1194940262 1194940262 12/22/2014
CHANDHOKE 1174956627 1174956627 02/02/2015
SEIDENFELD 1659411239 1659411239 01/21/2013
GORIN 1962502344 1962502344 10/30/2015
CHEREZOV 1538206404 1538206404 12/02/2013
MARKS 1467447136 1467447136 02/06/2012
ACUESTA-LAURETA 1437294543 1144403734 09/22/2014
RADPARVAR 1790940518 1790940518 08/24/2015
Page 217 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11226 KINGS
2014 1 11229 KINGS
2020 5 11575 NASSAU
2018 3 11753 NASSAU
2012 1 10460 BRONX
2014 1 11553 NASSAU
2014 1 11216 KINGS
2012 1 11219 KINGS
2013 2 11218 KINGS
2013 1 11235 KINGS
2011 1 11212 KINGS
2013 1 10462 BRONX
2012 1 11223 KINGS
Page 218 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
PANDHI PRAVINCHANDRA DDS (40.65642, -
73.950691)
809 2090 31
AULOVA IRKYAM DDS (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHILDRENS AID SOC-LORD MEM CL (40.85589, -
73.868294)
675 2032 52
SOODOO KIRK WILLIAM DMD (40.715749, -
73.601185)
1455 2094 6
CHANDHOKE NIRMOLRATTAN K (40.65642, -
73.950691)
809 2090 31
SEIDENFELD DOV DDS (40.65642, -
73.950691)
809 2090 31
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
CHEREZOV OLEG (40.65642, -
73.950691)
809 2090 31
MARKS ANDREW P DDS (40.65642, -
73.950691)
809 2090 31
CIRCLE FAMILY DENTAL PC (40.85589, -
73.868294)
675 2032 52
RADPARVAR SASAN AVRAHAM DDS (40.65642, - 809 2090 31
Page 219 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
93
93
37 176
93
37 27
37 27
37 27
37 27
37 27
37 176
37 27
Page 220 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RICHARD
DENTIST NATASHA
DENTIST ASHLEY
DENTIST MASHA
DENTIST RICKY
DENTIST MARY
DENTIST GARY
DENTIST M
DENTIST NAJLA
DENTIST MARK
DENTIST DAVID
DENTIST KEVIN
DENTIST QUANG
Page 221 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GOCHMAN 1346246733 1417027558 01/28/2019
JEAN-CHARLES 1396030797 1962716050 11/23/2015
BEARDS 1578661153 1417027558 11/25/2013
NYAMUPFUKUDZA 1205088432 1205088432 03/17/2017
MUNTER 1336163997 1295997724 03/24/2014
GHABRIEL 1295726339 1073503215 03/06/2017
NADLER 1740270677 1740270677 01/22/2018
TANNENBAUM 1639224256 1720177066 05/07/2012
NAJEEB 1083972111 1295997724 02/09/2015
EGNER 1225063159 1790971869 04/04/2016
HOU 1659583151 1295997724 03/29/2021
CLAUSER 1790794808 1790794808 02/10/2014
NGUYEN 1508857798 1508857798 01/25/2019
Page 222 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 3 10457 BRONX
2015 1 11590 NASSAU
2013 1 10457 BRONX
2012 1 11220 KINGS
2013 1 11753 NASSAU
2013 1 11206 KINGS
2013 1 11218 KINGS
2011 1 11249 KINGS
2014 1 11753 NASSAU
2015 1 13856 DELAWARE
2020 6 11753 NASSAU
2013 1 14221 ERIE
2014 1 11220 KINGS
Page 223 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
NYAMUPFUKUDZA MASHA (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
NADLER GARY STEVEN DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CLAUSER KEVIN GREGORY DDS (42.888143, -
78.795544)
62 2041 63
NGUYEN QUANG M DDS (40.65642, - 809 2090 31
Page 224 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 176
37 27
93
37 27
37 27
37 27
93
410
93
646
37 27
Page 225 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NAZITA
DENTIST WILLIAM
DENTIST PHUONG-KIEU
DENTIST WINARDO
DENTIST BERNADETTE
DENTIST ALIKA
DENTIST JEREMY
DENTIST ANTHONY
DENTIST CHAYA
DENTIST CALLIE
DENTIST RAISA
DENTIST CHRISTIANE
DENTIST DEEPA
Page 226 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AMINPOUR SHAMASH 1780859504 1780859504 01/05/2015
STERN 1184761769 1184761769 02/18/2019
HUYNH 1609062801 1609946821 02/03/2014
LOMBOY 1063620425 1396059499 08/02/2021
LINDQUIST 1194740886 1457395766 08/21/2017
CREW 1609915354 1295997724 03/27/2017
HANNON 1457545063 1538339072 12/31/2012
SPINELLI 1083791800 1366589038 07/29/2013
CARL 1447578737 1457395766 06/09/2014
WILLIAMS 1871744920 1477850279 03/02/2015
SIRKOVICH 1780626176 1336289842 08/01/2017
PACHECO 1508984329 1437231693 05/30/2016
RAO 1285800458 1437231693 11/13/2017
Page 227 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11021 NASSAU
2017 5 11204 KINGS
2013 1 13601 JEFFERSON
2021 6 11575 NASSAU
2015 2 14611 MONROE
2016 1 11753 NASSAU
2012 1 11223 KINGS
2012 1 11215 KINGS
2013 1 14611 MONROE
2014 1 14127 ERIE
2013 1 11221 KINGS
2015 1 10457 BRONX
2016 1 10456 BRONX
Page 228 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMINPOUR-SHAMASH NAZITA (40.715749, -
73.601185)
1455 2094 6
STERN WILLIAM DDS (40.65642, -
73.950691)
809 2090 31
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GELFMAN & BIRNBAUM ORAL SURG (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
DENTAL GROUP PC (42.888143, -
78.795544)
62 2041 63
ALEXANDER D MILLER DDS (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, - 675 2032 52
Page 229 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
705
93
50 844
93
37 27
37 27
50 844
646
37 27
37 176
37 176
Page 230 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KLODIANA
DENTIST ANALIA
DENTIST DEREK
DENTIST NANCY
DENTIST ZVI
DENTIST MARITZA
DENTIST GABRIEL
DENTIST RONALD
DENTIST SONIA
DENTIST ELLIOT
DENTIST JIM
DENTIST GOVIND
DENTIST DORIS
Page 231 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARGARITI 1023290467 1023290467 08/19/2013
RIBEIRO 1205248242 1083716088 03/23/2015
NGUYEN 1114219615 1245334564 01/01/2018
DOUGHERTY 1730263534 1073535027 08/28/2017
BROITMAN 1538360466 1538360466 04/22/2013
REYES 1275507766 1184694291 07/16/2012
ISIOYE 1942281829 1942281829 12/10/2012
KANE 1184791352 1790971869 04/04/2016
GRAY 1750583290 1750583290 02/21/2020
BRAHMS 1811155963 1790971869 05/07/2012
GHARDA 1184843211 1295997724 08/05/2019
BAPAT 1982807244 1295997724 12/25/2017
ORTIZ 1972578904 1972578904 07/20/2017
Page 232 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11226 KINGS
2014 1 14605 MONROE
2016 1 10468 BRONX
2016 1 10461 BRONX
2012 1 11235 KINGS
2011 1 10453 BRONX
2012 1 10463 BRONX
2015 1 13760 BROOME
2014 2 11208 KINGS
2011 1 13856 DELAWARE
2018 4 11753 NASSAU
2016 2 11753 NASSAU
2013 1 11520 NASSAU
Page 233 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
MARGARITI KLODIANA DDS (40.65642, -
73.950691)
809 2090 31
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
LDFCB DENTISTRY LLC (40.85589, -
73.868294)
675 2032 52
BELLEVUE HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
ZVI BROITMAN DENTAL PC (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
ISIOYE GABRIEL DDS (40.85589, -
73.868294)
675 2032 52
WALTON DENTAL PLLC (42.122015, -
75.933191)
479 2033 45
GRAY SONIA ELAINE DDS (40.65642, -
73.950691)
809 2090 31
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ORTIZ-ABREU DORIS (40.715749, - 1455 2094 6
Page 234 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
37 176
37 176
37 27
37 176
37 176
346
37 27
410
93
93
93
Page 235 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ENDALE
DENTIST SERGEY
DENTIST PERRI
DENTIST SURENDRA
DENTIST NEDJAT
DENTIST TIMOTHY
DENTIST KEITH
DENTIST ALLEN
DENTIST OWEN
DENTIST RAJ
DENTIST PHILIP
DENTIST NAMTY
DENTIST ADELA
Page 236 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TEFERA 1417004102 1417004102 12/01/2016
KUZNETSOV 1164641122 1164641122 12/10/2012
MALEK 1790919322 1295997724 04/14/2014
PATEL 1013907070 1013907070 04/21/2014
BARAVARIAN 1457552838 1295997724 12/31/2018
LYNCH 1558457051 1831303569 09/29/2021
KELLER 1700179710 1437231693 11/06/2017
BRESSLER 1669462917 1982694790 07/28/2014
JONES 1578555322 1578555322 05/01/2017
MOHAN 1568558997 1568558997 01/18/2019
ZAVELOFF 1881746808 1720177066 08/06/2018
LEE 1154577815 1508038514 09/07/2015
GUSET 1780991695 1255360517 03/25/2019
Page 237 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11225 KINGS
2012 1 11235 KINGS
2013 1 11753 NASSAU
2014 1 10468 BRONX
2017 3 11753 NASSAU
2014 1 12205 ALBANY
2016 1 10456 BRONX
2013 1 11210 KINGS
2013 1 11203 KINGS
2014 1 11238 KINGS
2016 4 11249 KINGS
2014 1 11220 KINGS
2017 2 14621 MONROE
Page 238 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
TEFERA ENDALE MULAT DDS (40.65642, -
73.950691)
809 2090 31
KUZNETSOV SERGEY DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
PATEL SURENDRA R DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
ALLEN M BRESSLER DDS PC (40.65642, -
73.950691)
809 2090 31
JONES OWEN K W DDS (40.65642, -
73.950691)
809 2090 31
MOHAN RAJ DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, - 1666 2093 56
Page 239 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
93
37 176
93
1 573
37 176
37 27
37 27
37 27
37 27
37 27
50 844
Page 240 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GUNANAND
DENTIST NGOZI
DENTIST ROBERT
DENTIST SHERINE
DENTIST CARMEN
DENTIST WANKI
DENTIST RAJESH
DENTIST MICHAEL
DENTIST DERIK
DENTIST SURENDER
DENTIST YULIYA
DENTIST VICTORIA
DENTIST JASON
Page 241 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PERSAUD 1396740270 1396740270 11/18/2013
UBU 1417176033 1417027558 01/18/2016
GOLIGHTLY 1164731345 1164731345 12/16/2013
IBRAHIM 1073720181 1295997724 03/29/2021
ARZOLA 1730360280 1730360280 06/17/2019
KIM 1780003749 1003232463 09/04/2017
ADHIA 1487833877 1538111653 02/18/2013
KATS 1396822755 1396822755 05/12/2014
STUCKER 1336314400 1619969458 03/05/2018
GROVER 1386831576 1619969458 11/02/2015
NOSOV 1720207566 1457405862 08/12/2013
BOND 1215029244 1215029244 12/29/2017
LONGO 1801186432 1972781375 12/05/2016
Page 242 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10452 BRONX
2014 2 10457 BRONX
2013 1 11206 KINGS
2020 6 11753 NASSAU
2014 1 10462 BRONX
2016 1 12901 CLINTON
2012 1 11220 KINGS
2013 1 11218 KINGS
2015 2 12501 DUTCHESS
2015 1 12534 COLUMBIA
2013 1 14043 ERIE
2013 1 11201 KINGS
2016 1 13901 BROOME
Page 243 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
PERSAUD GUNANAND JR DDS (40.85589, -
73.868294)
675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
GOLIGHTLY ROBERT (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ARZOLA CARMEN (40.85589, -
73.868294)
675 2032 52
NORTH COUNTRY PEDIATRIC DENTISITRY (44.731944, -
73.548883)
202 2038 35
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
KATS MICHAEL DDS (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
HUDSON RIVER HEALTHCARE INC (42.276913, -
73.682168)
977 619 33
MY DENTIST PC (42.888143, -
78.795544)
62 2041 63
BOND VICTORIA (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 244 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 27
93
37 176
920
37 27
37 27
63
388
646
37 27
346
Page 245 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JANE
DENTIST THOMAS
DENTIST SANGEETA
DENTIST GENNADIY
DENTIST SARAH
DENTIST MONICA
DENTIST AKANKSHA
DENTIST AHMED
DENTIST JINYOUNG
DENTIST DAVID
DENTIST IRIT
DENTIST JUAN
DENTIST JULIE
Page 246 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JAROONNARM 1477723468 1427171966 05/01/2017
MORTILLARO 1063536787 1063536787 09/02/2019
SETHI 1194893917 1568537561 12/17/2012
SIMONOVSKIY 1992842678 1992842678 11/13/2017
BARRY 1881980381 1881789014 04/25/2016
MORIN 1295708956 1184694291 06/21/2021
GERA 1598921728 1477764496 12/10/2012
NOUR-EL-DEEN 1801949078 1295997724 12/31/2018
JIN 1164654877 1700057650 07/20/2017
FRAENKEL 1790774271 1790774271 06/29/2015
SUSSMAN MIROCZNIK 1447305065 1720177066 08/12/2013
COLLADO 1952390015 1952390015 10/21/2013
WEE 1093728768 1245334564 12/02/2013
Page 247 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11203 KINGS
2018 2 11209 KINGS
2012 1 10459 BRONX
2013 1 11230 KINGS
2015 1 14207 ERIE
2020 3 10453 BRONX
2012 1 10010 NEW YORK
2017 3 11753 NASSAU
2013 1 14048 CHAUTAUQUA
2015 1 10458 BRONX
2013 2 11249 KINGS
2013 1 10040 NEW YORK
2013 1 10468 BRONX
Page 248 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
MORTILLARO THOMAS ANTHONY DDS (40.65642, -
73.950691)
809 2090 31
SETHI DENTAL SERVICES PLLC (40.85589, -
73.868294)
675 2032 52
SIMONOVSKIY GENNADIY DDS (40.65642, -
73.950691)
809 2090 31
NORTHWEST BUFFALO COMM H C (42.888143, -
78.795544)
62 2041 63
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ABREU & ORTIZ LLP (42.246904, -
79.315313)
1743 2035 57
FRAENKEL DAVID MARK DDS (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
COLLADO JUAN P (40.726966, -
74.005966)
737 2095 50
LDFCB DENTISTRY LLC (40.85589, - 675 2032 52
Page 249 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
37 27
646
37 176
37 108
93
447
37 176
37 27
37 108
37 176
Page 250 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PAUL
DENTIST JEFFREY
DENTIST HOOMAN
DENTIST CHIH CHANG
DENTIST WILLIAM
DENTIST MARIA
DENTIST ELDAD
DENTIST DENNY
DENTIST ERICA
DENTIST MYRNA
DENTIST EUN JUNG
DENTIST DANIEL
DENTIST MATTHEW
Page 251 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GATES 1033115506 1417027558 10/14/2013
STEIN 1619193661 1619193661 06/12/2019
KHORRAM 1194995712 1194995712 09/23/2013
CHUNG 1780772129 1538111653 02/16/2015
STERN 1184761769 1184761769 09/14/2015
ABEYOUNIS 1881606218 1457395766 08/20/2012
SIMANTOW-MAZLUMI 1306155171 1295997724 04/03/2017
CHERN-KELK 1679636625 1417027558 05/07/2018
MILLS 1265674626 1265674626 01/04/2016
REGINO 1871583013 1073503215 02/09/2017
LEE 1942479589 1639247976 11/03/2017
GATI 1497165930 1295997724 12/31/2018
BATTISTE 1689846735 1972781375 12/16/2019
Page 252 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10457 BRONX
2014 1 11207 KINGS
2013 1 11206 KINGS
2014 1 11220 KINGS
2014 2 11204 KINGS
2011 1 14611 MONROE
2016 1 11753 NASSAU
2016 3 10457 BRONX
2015 1 11212 KINGS
2013 1 11206 KINGS
2013 1 10463 BRONX
2017 3 11753 NASSAU
2018 3 13901 BROOME
Page 253 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
STEIN JEFFREY H DDS (40.65642, -
73.950691)
809 2090 31
KHORRAM HOOMAN (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
STERN WILLIAM DDS (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
MILLS ERICA ANDREA (40.65642, -
73.950691)
809 2090 31
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 254 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
37 27
37 27
37 27
50 844
93
37 176
37 27
37 27
37 176
93
346
Page 255 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FRANK
DENTIST LORIS
DENTIST DESTINY
DENTIST CLAUDIA
DENTIST JIN
DENTIST RASHEL
DENTIST MERYL
DENTIST NEAL
DENTIST HRISOULA
DENTIST MARYAM
DENTIST SAKSHI
DENTIST MARTIN
DENTIST RICHARD
Page 256 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIRKLAND 1689701971 1689701971 10/21/2013
ABRAHAM 1972714699 1295997724 03/24/2014
BEAN 1558709378 1295997724 12/31/2018
PATINO 1033244801 1033244801 05/19/2014
SUNG 1942565965 1972781375 02/18/2019
RAHMANI 1124163076 1124163076 07/07/2014
NAGOURNEY HERSH 1841314788 1427098227 10/01/2012
EZRA 1316168453 1316168453 01/05/2015
PAPADOPOULOS 1639264823 1619969458 04/14/2014
HARIRI 1851627376 1972781375 09/14/2020
GUPTA 1093190423 1982683249 01/11/2021
SAPIR 1336144385 1336144385 12/23/2013
LANGIULLI 1659446367 1437255155 10/09/2017
Page 257 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11225 KINGS
2013 1 11753 NASSAU
2017 2 11753 NASSAU
2013 1 11580 NASSAU
2017 2 13901 BROOME
2013 1 11552 NASSAU
2012 1 11218 KINGS
2014 1 11557 NASSAU
2013 1 12601 DUTCHESS
2019 4 13901 BROOME
2016 1 11219 KINGS
2013 1 11219 KINGS
2016 1 10457 BRONX
Page 258 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
KIRKLAND FRANK DUANE DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
PATINO CLAUDIA VICTORIA DDS (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MONHIAN RASHEL (40.715749, -
73.601185)
1455 2094 6
L'REFAUH MED & REHAB CTR.,INC (40.65642, -
73.950691)
809 2090 31
EZRA NEAL DDS (40.715749, -
73.601185)
1455 2094 6
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
IRA GRONOWITZ D D S PC (40.65642, -
73.950691)
809 2090 31
SAPIR MARTIN J DMD (40.65642, -
73.950691)
809 2090 31
UNION COMM HEALTH CTR INC (40.85589, - 675 2032 52
Page 259 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
93
93
346
93
37 27
93
63
346
37 27
37 27
37 176
Page 260 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MATTHEW
DENTIST SASAN
DENTIST JAMES
DENTIST NARINDER
DENTIST CHRISTIANE
DENTIST DAVID
DENTIST RONALD
DENTIST VALERIY
DENTIST EDWARD
DENTIST SHERINE
DENTIST RONALD
DENTIST KENNY
DENTIST LAURO
Page 261 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BATTISTE 1689846735 1972781375 09/14/2020
RADPARVAR 1790940518 1790940518 04/15/2013
ATKINSON 1346277332 1447298070 04/30/2018
SINGH 1851513618 1295997724 02/24/2020
PACHECO 1508984329 1437231693 05/07/2018
FISHER 1649312265 1649312265 05/26/2014
DEUTSCH 1215063722 1215063722 11/04/2013
LIBMAN 1417952714 1255459764 03/17/2014
CHALOUH 1780866517 1780866517 08/24/2015
IBRAHIM 1073720181 1295997724 08/05/2019
BIONDO 1114189479 1902127897 12/29/2020
HO 1083754246 1083754246 05/19/2014
MEDRANO-SALDANA 1972573004 1972573004 10/28/2013
Page 262 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 13901 BROOME
2012 1 11223 KINGS
2016 1 11237 KINGS
2019 5 11753 NASSAU
2016 2 10457 BRONX
2013 1 10462 BRONX
2013 1 11210 KINGS
2013 1 11204 KINGS
2012 1 10451 BRONX
2018 4 11753 NASSAU
2014 1 10463 BRONX
2013 1 11220 KINGS
2013 1 11220 KINGS
Page 263 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
RADPARVAR SASAN AVRAHAM DDS (40.65642, -
73.950691)
809 2090 31
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
FISHER DAVID H DDS (40.85589, -
73.868294)
675 2032 52
DEUTSCH RONALD DDS (40.65642, -
73.950691)
809 2090 31
Q DENTAL PC (40.65642, -
73.950691)
809 2090 31
CHALOUH EDWARD DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COHENS GENERAL DENTAL PLLC (40.85589, -
73.868294)
675 2032 52
HO KENNY H DDS (40.65642, -
73.950691)
809 2090 31
MEDRANO-SALDANA LAURO F DDS (40.65642, - 809 2090 31
Page 264 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
37 27
37 27
93
37 176
37 176
37 27
37 27
37 176
93
37 176
37 27
37 27
Page 265 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST VICTORIA
DENTIST ABID
DENTIST CHIA TAW
DENTIST ELHAM
DENTIST OMAR
DENTIST PAUL
DENTIST RICHARD
DENTIST JING YAO
DENTIST ARNULFO
DENTIST JING YAO
DENTIST ENDALE
DENTIST MARK
DENTIST RAYMOND
Page 266 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PARK 1689935389 1295997724 04/24/2017
RIZVI 1447489455 1447489455 01/22/2018
HUANG 1851409361 1982787537 04/03/2017
SHADPOUR 1548519960 1962716050 12/29/2014
SUAREZ 1891869814 1538111653 06/02/2014
GATES 1033115506 1417027558 11/02/2015
BEATUS 1316949464 1427220540 07/28/2014
YE 1750443958 1396059499 02/01/2021
HERRERA 1649583220 1649583220 06/22/2015
YE 1750443958 1912211012 11/13/2017
TEFERA 1417004102 1417004102 08/05/2019
APFEL 1437204054 1720177066 05/07/2012
SWAINSON 1982862850 1295997724 12/31/2018
Page 267 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11753 NASSAU
2013 1 11230 KINGS
2016 1 14620 MONROE
2014 1 11520 NASSAU
2013 1 11220 KINGS
2014 2 10457 BRONX
2014 1 10473 BRONX
2020 6 11575 NASSAU
2015 1 11553 NASSAU
2015 2 11003 NASSAU
2015 2 11225 KINGS
2011 1 11249 KINGS
2017 3 11753 NASSAU
Page 268 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
RIZVI ABID H (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
BRUCKER PLAZA DENTAL SERVICES PC (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
HERRERA ARNOLFO J (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC ELMONT (40.715749, -
73.601185)
1455 2094 6
TEFERA ENDALE MULAT DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 269 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
50 844
93
37 27
37 176
37 176
93
93
93
37 27
37 27
93
Page 270 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FIONA
DENTIST ROBIN
DENTIST MICHAEL
DENTIST EUN JUNG
DENTIST MOISE
DENTIST HOWARD
DENTIST ALBERT
DENTIST NARINDER
DENTIST CAMILLE
DENTIST GYULNARA
DENTIST JACQUELINE
DENTIST JASON
DENTIST SUSMITA
Page 271 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YEUNG 1023211992 1437231693 11/06/2017
CRAIG 1477692374 1972781375 02/18/2019
WILSON 1972654192 1972781375 05/31/2021
LEE 1942479589 1639247976 06/23/2014
NAWLO 1386827095 1386827095 07/08/2013
ATLAS 1093704041 1093704041 11/25/2013
MATUZA 1619171386 1295997724 03/26/2018
SINGH 1851513618 1295997724 01/01/2018
CHIQUES 1417189853 1447298070 04/16/2018
KYAZIMOVA 1841279544 1154592020 12/01/2014
SAMUELS 1366423444 1437231693 11/06/2017
NICOLETTI 1720283054 1770871600 01/05/2015
HUNTER 1346239316 1346239316 12/16/2013
Page 272 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10456 BRONX
2017 2 13901 BROOME
2020 5 13901 BROOME
2013 1 10463 BRONX
2012 1 10451 BRONX
2013 1 11236 KINGS
2016 2 11753 NASSAU
2016 2 11753 NASSAU
2016 1 11237 KINGS
2013 1 11224 KINGS
2016 1 10456 BRONX
2014 1 12205 ALBANY
2013 1 11213 KINGS
Page 273 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
NAWLO MOISE JOSEPH DDS (40.85589, -
73.868294)
675 2032 52
ATLAS HOWARD SCOTT (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
GULMAR DENTAL PC (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL GROUP OF ALBANY PC (42.678066, -
73.814233)
40 2030 34
HUNTER SUSMITA R DDS (40.65642, - 809 2090 31
Page 274 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
346
346
37 176
37 176
37 27
93
93
37 27
37 27
37 176
1 573
37 27
Page 275 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAY
DENTIST HARI
DENTIST HARVEY
DENTIST NASSEF
DENTIST MYUNG
DENTIST RAYMOND
DENTIST INDERPAL
DENTIST DAVID
DENTIST UNTRAY
DENTIST BABAK
DENTIST DESTINY
DENTIST GENARO
DENTIST ANETA
Page 276 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VARGHESE 1740549518 1548229958 09/14/2015
AGARWAL 1821102252 1366507758 12/10/2012
HENTELEFF 1124054176 1972781375 10/29/2012
LANCEN 1063615219 1972781375 10/22/2012
CHO 1932252194 1932252194 01/18/2019
SWAINSON 1982862850 1295997724 04/30/2018
GARCHA 1477529055 1477529055 01/28/2013
KRONER 1275891830 1295997724 04/07/2014
BROWN 1841214087 1841214087 11/09/2015
BINA 1871672758 1538111653 02/18/2013
BEAN 1558709378 1295997724 03/29/2021
TAVERAS 1932396645 1932396645 04/06/2018
MEJIA 1891992541 1538111653 03/25/2013
Page 277 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11212 KINGS
2012 1 10466 BRONX
2012 1 13901 BROOME
2012 1 13901 BROOME
2014 1 10013 NEW YORK
2016 2 11753 NASSAU
2012 1 12084 ALBANY
2013 1 11753 NASSAU
2014 3 11238 KINGS
2012 1 11220 KINGS
2020 5 11753 NASSAU
2012 1 10453 BRONX
2012 1 11220 KINGS
Page 278 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
UCP ASSO OF NYS STATEN IS (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CHO MYUNG H DDS (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GARCHA INDERPAL DDS (42.678066, -
73.814233)
40 2030 34
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
UNTRAY T BROWN DDS PLLC (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
TAVERAS GENARO J DDS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 279 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
346
346
37 108
93
1 573
93
37 27
37 27
93
37 176
37 27
Page 280 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SRINIVAS
DENTIST RASHED
DENTIST KATHRYN
DENTIST DANNY
DENTIST JUDITH
DENTIST STEVEN
DENTIST VINEET
DENTIST TODD
DENTIST AHMED
DENTIST VICTORIA
DENTIST NARINDER
DENTIST VINETTE
DENTIST MICHAEL
Page 281 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
IRAGAVARAPU 1316225683 1316225683 05/02/2016
RASHED 1902897408 1902897408 06/04/2018
KORFF 1669766846 1528233616 09/25/2017
ALCANTARA 1346331451 1346331451 04/29/2013
OLSHIN 1508932237 1073689600 05/19/2014
CARNEY 1114183365 1851506505 01/06/2014
MORE 1336239771 1336239771 05/20/2016
ROSS 1568452142 1588870059 06/17/2013
NOUR-EL-DEEN 1801949078 1295997724 08/05/2019
BOND 1215029244 1215029244 03/03/2014
SINGH 1851513618 1295997724 12/31/2018
BROWN 1649405234 1184694291 07/16/2012
FELDSTEIN 1063559904 1710086590 09/03/2012
Page 282 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10457 BRONX
2016 4 11220 KINGS
2015 1 14263 ERIE
2012 1 10451 BRONX
2013 3 11545 NASSAU
2013 1 10457 BRONX
2014 2 11213 KINGS
2012 1 10457 BRONX
2018 4 11753 NASSAU
2013 1 11201 KINGS
2017 3 11753 NASSAU
2011 1 10453 BRONX
2011 1 10038 NEW YORK
Page 283 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
IRAGAVARAPU SRINIVAS (40.85589, -
73.868294)
675 2032 52
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
ERIE COUNTY MEDICAL CTR
CORPORATION
(42.888143, -
78.795544)
62 2041 63
ALCANTARA DANNY RAMONA (40.85589, -
73.868294)
675 2032 52
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
BARTLEY R LABINER DDS (40.85589, -
73.868294)
675 2032 52
MORE VINEET A DDS (40.65642, -
73.950691)
809 2090 31
GOLD ANDREW F DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BOND VICTORIA (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
AHRC HEALTH CARE INC (40.726966, - 737 2095 50
Page 284 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
646
37 176
93
37 176
37 27
37 176
93
37 27
93
37 176
37 108
Page 285 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WING
DENTIST ALEXANDER
DENTIST HUGH
DENTIST SANFORD
DENTIST ANN
DENTIST DAVID
DENTIST ROBERT
DENTIST PHILIP
DENTIST ALEXSANDR
DENTIST SHEREE
DENTIST MAGDY
DENTIST MURRAY
DENTIST NARINDER
Page 286 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WONG 1790983179 1508038514 11/02/2015
AYZENBERG 1700803459 1700803459 01/21/2013
POLLACK 1447305073 1720177066 07/13/2015
JACOBY 1194821421 1528218567 10/07/2013
LAYVEY 1356652408 1538111653 02/15/2016
DAYAN 1639555329 1295997724 02/15/2016
SCHECTER 1053595678 1053595678 12/15/2014
ZAVELOFF 1881746808 1720177066 10/30/2017
GRIGORYAN 1053301978 1053301978 06/23/2014
MORGAN 1770705634 1477764496 12/10/2012
TADROS 1205123403 1205123403 06/11/2018
FRYD 1124231212 1124231212 03/09/2015
SINGH 1851513618 1295997724 05/03/2021
Page 287 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11220 KINGS
2012 1 11235 KINGS
2014 3 11249 KINGS
2012 1 10457 BRONX
2014 1 11220 KINGS
2015 1 11753 NASSAU
2014 1 11550 NASSAU
2015 3 11249 KINGS
2013 1 10458 BRONX
2012 1 10010 NEW YORK
2016 1 10453 BRONX
2014 1 11215 KINGS
2020 6 11753 NASSAU
Page 288 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
ALEXANDER AYZENBERG DENTISTRY (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
COMFORT DENTAL CARE (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SCHECTER ROBERT CHARLES (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
GRIGORYAN ALEKSANDR DDS (40.85589, -
73.868294)
675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
TADROS MAGDY SHOHDY (40.85589, -
73.868294)
675 2032 52
FRYD MURRAY DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 289 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
37 176
37 27
93
93
37 27
37 176
37 108
37 176
37 27
93
Page 290 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST UNTRAY
DENTIST TZIRI
DENTIST ADEWALE
DENTIST SIU
DENTIST NORMAN
DENTIST JOSEPH
DENTIST HOUMAN
DENTIST RENEE
DENTIST RADION
DENTIST AHMED
DENTIST NAHID
DENTIST STEVEN
DENTIST JOSHUA
Page 291 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BROWN 1841214087 1841214087 04/08/2013
SALAMON 1043469885 1720177066 04/22/2013
ADEPETU 1326127713 1326127713 09/19/2019
LEE 1437241908 1538111653 03/11/2013
JOHNSON 1356333488 1538339072 05/07/2012
DEROSE 1538342928 1619191855 05/18/2015
LANGROODI 1083884423 1083884423 12/10/2012
PELLEGRINO 1023240173 1255360517 10/16/2017
ELIAV 1891818688 1891818688 01/05/2015
MANSOUR 1689711053 1225398209 10/08/2012
NEMAN 1750372371 1750372371 11/11/2013
VOLK 1487873113 1487873113 12/05/2016
CANTER 1568509149 1568509149 04/16/2018
Page 292 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 11238 KINGS
2012 2 11249 KINGS
2014 2 10470 BRONX
2012 1 11220 KINGS
2011 1 11223 KINGS
2014 1 14218 ERIE
2012 1 11213 KINGS
2015 2 14420 MONROE
2014 1 11222 KINGS
2012 1 12590 DUTCHESS
2013 1 11021 NASSAU
2015 1 11235 KINGS
2015 3 11204 KINGS
Page 293 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
UNTRAY T BROWN DDS PLLC (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ADEPETU ADEWALE DDS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
GELFMAN & BIRNBAUM ORAL SURG (40.65642, -
73.950691)
809 2090 31
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
LANGROODI HOUMAN DDS (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
ELIAV RADION G (40.65642, -
73.950691)
809 2090 31
SUNSHINE ORTHODONTICS PC (41.686216, -
73.840468)
1022 2040 30
NEMAN NAHID DDS (40.715749, -
73.601185)
1455 2094 6
VOLK STEVEN DDS (40.65642, -
73.950691)
809 2090 31
CANTER JOSHUA JAY DDS (40.65642, - 809 2090 31
Page 294 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
37 27
37 27
646
37 27
50 844
37 27
63
93
37 27
37 27
Page 295 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST OWEN
DENTIST JENNIFER
DENTIST MERELA
DENTIST NGOZI
DENTIST SHERIF
DENTIST JAY
DENTIST SALEH
DENTIST MOHAMMED
DENTIST CURTIS
DENTIST ALBERT
DENTIST YANGSOOK
DENTIST MARK
DENTIST MUKESH
Page 296 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JONES 1578555322 1578555322 10/28/2013
FLIGR 1710197694 1013924372 07/27/2015
RIEZA 1164610770 1972781375 03/07/2016
UBU 1417176033 1417027558 04/29/2013
RADWAN 1598937609 1295997724 12/07/2015
GARREL 1245393065 1245393065 09/24/2012
ELAHWAL 1184633190 1184633190 04/21/2014
MUKIT 1871685719 1871685719 05/28/2012
DAVIS 1801887542 1801887542 08/05/2019
MATUZA 1619171386 1295997724 09/16/2019
HAN 1043418346 1336173194 01/27/2014
DRUKARTZ 1003807975 1356307656 09/16/2013
AJMERA 1982773149 1982773149 11/16/2015
Page 297 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11203 KINGS
2014 1 10463 BRONX
2015 1 13901 BROOME
2012 1 10457 BRONX
2015 1 11753 NASSAU
2012 1 11204 KINGS
2013 1 11209 KINGS
2011 1 11233 KINGS
2014 1 11203 KINGS
2018 4 11753 NASSAU
2013 1 10460 BRONX
2013 1 11203 KINGS
2015 1 10472 BRONX
Page 298 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
JONES OWEN K W DDS (40.65642, -
73.950691)
809 2090 31
METROPOLITAN HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GARREL JAY STEVEN (40.65642, -
73.950691)
809 2090 31
ELAHWAL SALEH A (40.65642, -
73.950691)
809 2090 31
MUKIT MD ABDUL DDS (40.65642, -
73.950691)
809 2090 31
TILDEN FAMILY DENTAL PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
NEW YORK NEURO AND REHAB CTR (40.85589, -
73.868294)
675 2032 52
KINGSBROOK JEWISH MED CENTER (40.65642, -
73.950691)
809 2090 31
AJMERA MUKESH H DDS (40.85589, - 675 2032 52
Page 299 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
346
37 176
93
37 27
37 27
37 27
37 27
93
37 176
37 27
37 176
Page 300 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JASON
DENTIST ANGUEL
DENTIST LEWIS
DENTIST DESTINY
DENTIST TIMOTHY
DENTIST FRANK
DENTIST LAWRENCE
DENTIST AHMAD
DENTIST JAMES
DENTIST NATALIA
DENTIST NEIL
DENTIST FAYEZ
DENTIST KEVIN
Page 301 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIEM 1861558736 1861558736 08/18/2014
PANEV 1891730362 1891730362 11/02/2015
O'SHEA 1275799058 1073689600 09/24/2012
BEAN 1558709378 1295997724 08/05/2019
LYNCH 1558457051 1831303569 09/07/2015
MASSARO 1326178906 1457395766 05/16/2016
WEISS 1093980906 1093980906 08/11/2014
HEDAYATI 1407063480 1295997724 12/24/2018
BURK 1740265180 1982787537 03/27/2017
BLAZHKEVICH 1184613416 1184613416 10/21/2013
GORIN 1962502344 1962502344 09/16/2013
AZIZ 1558562587 1972781375 05/31/2021
BUYCK 1316918311 1982674917 03/12/2018
Page 302 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 11204 KINGS
2014 1 11211 KINGS
2012 1 11545 NASSAU
2018 3 11753 NASSAU
2014 1 12205 ALBANY
2015 1 14526 MONROE
2014 1 11234 KINGS
2017 3 11753 NASSAU
2016 1 14623 MONROE
2013 1 11207 KINGS
2013 2 11218 KINGS
2020 5 13901 BROOME
2015 3 12010 MONTGOMERY
Page 303 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
LIEM JASON DDS (40.65642, -
73.950691)
809 2090 31
PANEV ANGUEL DDS (40.65642, -
73.950691)
809 2090 31
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
WEISS LAWRENCE J DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
BLAZHKEVICH NATALIA DDS (40.65642, -
73.950691)
809 2090 31
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
NEW DIMENSIONS IN HEALTH CARE (42.933637, - 1221 624 36
Page 304 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
93
93
1 573
50 844
37 27
93
50 844
37 27
37 27
346
699
Page 305 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SAGAR
DENTIST SHLOMO
DENTIST STEPHANIE
DENTIST NATASHA
DENTIST LEWIS
DENTIST DAVID
DENTIST JASON
DENTIST FALGUNI
DENTIST ELDAD
DENTIST JUDD
DENTIST NANCY
DENTIST RAJESHWERRAO
DENTIST ANTHONY
Page 306 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAH 1932541067 1609962935 07/03/2017
FELDMAN 1790781904 1790781904 12/31/2012
JULIAN 1750537114 1700057650 07/20/2017
JEAN-CHARLES 1396030797 1396059499 07/02/2018
O'SHEA 1275799058 1073689600 01/07/2019
MECHANIC 1215155171 1215155171 05/19/2014
GORDON 1326240458 1629301395 09/10/2012
MEHTA 1124000807 1578612412 02/25/2013
SIMANTOW-MAZLUMI 1306155171 1295997724 08/05/2019
LESSER 1619022498 1619022498 09/09/2019
YU 1801021944 1730124025 02/18/2019
KOKKIRALA 1790867646 1790867646 01/17/2020
RAMIREZ 1720289275 1366589038 05/28/2018
Page 307 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11040 NASSAU
2012 1 11211 KINGS
2013 1 10011 NEW YORK
2016 2 11575 NASSAU
2017 6 11545 NASSAU
2013 1 11207 KINGS
2011 1 10462 BRONX
2011 1 11212 KINGS
2018 2 11753 NASSAU
2018 4 11557 NASSAU
2017 3 10027 NEW YORK
2014 1 10452 BRONX
2016 1 11215 KINGS
Page 308 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.341972)
MAHESH SHAH DENTIST PC (40.715749, -
73.601185)
1455 2094 6
FELDMAN SHLOMO Z DDS (40.65642, -
73.950691)
809 2090 31
ABREU & ORTIZ LLP (40.726966, -
74.005966)
737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
MECHANIC DAVID B DDS (40.65642, -
73.950691)
809 2090 31
JASON R GORDON DDS PC (40.85589, -
73.868294)
675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LESSER JUDD DDS (40.715749, -
73.601185)
1455 2094 6
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
KOKKIRALA RAJESHWERRAO B DDS (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 309 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 108
93
93
37 27
37 176
37 27
93
93
37 108
37 176
37 27
Page 310 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CYNTHIA
DENTIST MICHAEL
DENTIST GOPALSWAMY
DENTIST SHERIF
DENTIST AHMAD
DENTIST DARSHINI
DENTIST BERNARD
DENTIST LORIS
DENTIST CHARLES
DENTIST OFER
DENTIST JENNIFER
DENTIST LEONARD
DENTIST REGINALD
Page 311 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WONG 1336427384 1982787537 04/03/2017
SOLE 1427277516 1538111653 06/23/2014
KALYANARAMAN 1447231683 1447231683 08/17/2020
DESOUKY 1114915386 1114915386 02/16/2015
HEDAYATI 1407063480 1295997724 02/15/2021
SHAH 1265473243 1265473243 12/08/2014
TURCHIANO 1568549467 1366589038 07/29/2013
ABRAHAM 1972714699 1295997724 12/31/2018
CHANG 1114231008 1114231008 08/12/2013
COHEN 1881754380 1881754380 09/16/2013
TRAN 1578879110 1508038514 09/03/2019
MORSE 1407882509 1366589038 10/07/2013
BORGELLA 1679557045 1679557045 03/16/2020
Page 312 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 14642 MONROE
2013 1 11220 KINGS
2019 2 11216 KINGS
2014 1 11735 NASSAU
2020 6 11753 NASSAU
2014 1 11001 NASSAU
2012 1 11215 KINGS
2017 3 11753 NASSAU
2013 1 11237 KINGS
2013 1 10463 BRONX
2014 1 11220 KINGS
2012 1 11215 KINGS
2016 1 11552 NASSAU
Page 313 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
KALYANARAMAN GOPALSWAMY DDS (40.65642, -
73.950691)
809 2090 31
DESOUKY SHERIF A DDS (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SHAH DARSHINI P DDS (40.715749, -
73.601185)
1455 2094 6
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHANG CHARLES (40.65642, -
73.950691)
809 2090 31
COHEN OFFER (40.85589, -
73.868294)
675 2032 52
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
BORGELLA REGINALD DDS (40.715749, - 1455 2094 6
Page 314 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 27
37 27
93
93
93
37 27
93
37 27
37 176
37 27
37 27
93
Page 315 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LESLIE
DENTIST ABDELAZIZ
DENTIST DAWN
DENTIST USMAN
DENTIST IOSIF
DENTIST SHAUL
DENTIST JONATHAN
DENTIST PETER
DENTIST SIDDIQUR
DENTIST SHEEREN
DENTIST OLGA
DENTIST FREDERICK
DENTIST NASSEF
Page 316 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COHEN 1801870241 1801870241 09/23/2013
OUZIDANE 1104062611 1104062611 02/18/2013
EVANS 1285860411 1437372380 03/09/2015
ALI 1265751937 1912225236 06/22/2015
UVAYDOV 1235122490 1255512711 11/11/2013
HUBSCHER 1487742300 1063650125 10/15/2012
WALTNER 1417028531 1417028531 08/03/2015
INDZONKA 1730178294 1730178294 03/23/2015
RAHMAN 1033251699 1033251699 11/02/2018
MALONEY 1346405594 1538111653 05/13/2013
DUBINSKY 1982835757 1225201460 05/13/2013
SANDS 1720030455 1720030455 09/23/2013
LANCEN 1063615219 1972781375 09/14/2020
Page 317 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 11219 KINGS
2012 1 11228 KINGS
2014 1 11201 KINGS
2015 2 14607 MONROE
2012 1 11229 KINGS
2012 1 10027 NEW YORK
2015 1 11249 KINGS
2015 1 12208 ALBANY
2014 3 11211 KINGS
2012 1 11220 KINGS
2012 1 11229 KINGS
2012 1 11216 KINGS
2019 4 13901 BROOME
Page 318 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
COHEN LESLIE JEAN (40.65642, -
73.950691)
809 2090 31
OUZIDANE ABDELAZIZ (40.65642, -
73.950691)
809 2090 31
PAVEL NIDERMAN ATLANTIC DENTL (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
IOSIF UVAYDOV DDS PC (40.65642, -
73.950691)
809 2090 31
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
WALTNER JONATHAN DDS (40.65642, -
73.950691)
809 2090 31
INDZONKA PETER FRANCIS DDS (42.678066, -
73.814233)
40 2030 34
RAHMAN SIDDIQUR DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
PEDIATRIC DENTAL ASSOC PC (40.65642, -
73.950691)
809 2090 31
SANDS FREDERICK B DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 319 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
50 844
37 27
37 108
37 27
1 573
37 27
37 27
37 27
37 27
346
Page 320 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PETER
DENTIST MARIA
DENTIST TERRILYN
DENTIST JAGDISH
DENTIST IRWIN
DENTIST MARIA
DENTIST KATHERINE
DENTIST HANS
DENTIST JOSEPH
DENTIST DIANE
DENTIST YELENA
DENTIST ALBINA
DENTIST FARINAZ
Page 321 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM 1417353400 1225464910 12/05/2016
LLOMPART 1821309956 1417027558 11/25/2013
REYNOLDS 1093897043 1295997724 03/24/2014
MARKALE 1639144223 1639144223 07/29/2013
MEDINA 1710990965 1295729408 06/25/2012
FIGUEROA 1720270424 1417027558 05/07/2018
TRAWICK 1962890608 1598707812 07/31/2017
MALMSTROM 1366550881 1982787537 03/27/2017
IZZO 1710064696 1366589038 05/28/2018
FRENCH-MCLEAN 1073669768 1073669768 10/21/2013
OSKOTSKAYA 1922282128 1922282128 08/19/2013
MALANCHUK 1275760050 1295997724 07/07/2014
MAIRZADEH 1538325865 1427171966 11/02/2018
Page 322 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 12601 DUTCHESS
2013 1 10457 BRONX
2013 1 11753 NASSAU
2012 1 10452 BRONX
2011 1 10453 BRONX
2016 3 10457 BRONX
2016 1 14420 MONROE
2016 1 14620 MONROE
2016 2 11215 KINGS
2013 1 11210 KINGS
2013 1 11209 KINGS
2014 1 11753 NASSAU
2014 1 11576 NASSAU
Page 323 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
ROYAL SMILE DENTISTRY PC (41.686216, -
73.840468)
1022 2040 30
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARKALE JAGDISH NARHAR (40.85589, -
73.868294)
675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
FRENCH-MCLEAN DIANE SANDRA (40.65642, -
73.950691)
809 2090 31
OSKOTSKAYA YELENA DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
PARK DENTAL CARE OF BROOKLYN PLLC (40.715749, - 1455 2094 6
Page 324 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
63
37 176
93
37 176
37 176
37 176
50 844
50 844
37 27
37 27
37 27
93
93
Page 325 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PETER
DENTIST OILIM
DENTIST GARY
DENTIST JUAN
DENTIST EDWARD
DENTIST ALISA
DENTIST ELENA
DENTIST FAYEZ
DENTIST RUBEN
DENTIST VERONICA
DENTIST RENEE
DENTIST PAYAM
DENTIST JONATHAN
Page 326 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MO 1558339705 1558339705 07/05/2021
LEUNG 1942263785 1184694291 02/26/2018
GENTILE 1851384788 1851384788 01/21/2013
QUINTANAR 1396936506 1033178561 09/09/2019
WONG 1558707406 1578625950 11/10/2014
KIM 1053540526 1598707812 03/18/2013
HOLTZMAN 1811102239 1295997724 03/24/2014
AZIZ 1558562587 1972781375 12/16/2019
MORONTA 1427034545 1427034545 10/26/2017
POWERS 1285867531 1639247653 07/07/2014
GASKA 1639214083 1295997724 03/24/2014
KASHANI 1154413177 1154413177 03/31/2014
LAZAR 1689872400 1720177066 07/30/2018
Page 327 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 5 11220 KINGS
2016 2 10453 BRONX
2012 1 11223 KINGS
2018 3 11216 KINGS
2014 1 11236 KINGS
2012 1 14420 MONROE
2013 1 11753 NASSAU
2018 3 13901 BROOME
2013 1 10455 BRONX
2013 1 11201 KINGS
2013 1 11753 NASSAU
2013 1 11023 NASSAU
2016 3 11249 KINGS
Page 328 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
MO PETER PI TAK DDS (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
GENTILE GARY L DDS (40.65642, -
73.950691)
809 2090 31
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
FIRST MEDCARE PRIMARY CARE (40.65642, -
73.950691)
809 2090 31
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MORONTA TERJO RUBEN D (40.85589, -
73.868294)
675 2032 52
PHOENIX HOUSE FOUNDATION INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
KASHANI PAYAM ARABZADEH DDS (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 329 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
37 27
37 27
37 27
50 844
93
346
37 176
37 27
93
93
37 27
Page 330 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ANA
DENTIST RAYMOND
DENTIST BIANCA
DENTIST RAJA
DENTIST SCOTT
DENTIST FAYEZ
DENTIST SIMERJIT
DENTIST OLGA
DENTIST MONICA
DENTIST ANGELE
DENTIST LEONARD
DENTIST JUDD
DENTIST JOSHUA
Page 331 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROJAS 1285609594 1285609594 08/01/2017
SWAINSON 1982862850 1295997724 02/24/2020
CLARK 1982992574 1033124961 08/24/2015
AGHABI 1851370621 1851370621 01/17/2020
WATSON 1861654543 1457395766 01/28/2013
AZIZ 1558562587 1972781375 09/14/2020
KAUR 1801023395 1295997724 08/05/2019
CELLERI-PINCUS 1144232877 1396059499 02/01/2021
LLAGUNO 1295708956 1184694291 07/16/2012
DIMITREY 1538378559 1295997724 03/29/2021
FISHMAN 1801290382 1982787537 10/09/2017
LESSER 1619022498 1619022498 01/20/2014
CANTER 1568509149 1568509149 08/19/2013
Page 332 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10463 BRONX
2019 5 11753 NASSAU
2014 1 10467 BRONX
2015 1 11550 NASSAU
2012 1 14611 MONROE
2019 4 13901 BROOME
2018 4 11753 NASSAU
2020 4 11575 NASSAU
2011 1 10453 BRONX
2020 6 11753 NASSAU
2016 1 14620 MONROE
2013 1 11557 NASSAU
2013 1 11204 KINGS
Page 333 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
MARBLE HILL DENTAL OFFICE PC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HARLEM HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
AGHABI RAJA HANNA DDS (40.715749, -
73.601185)
1455 2094 6
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
LESSER JUDD DDS (40.715749, -
73.601185)
1455 2094 6
CANTER JOSHUA JAY DDS (40.65642, - 809 2090 31
Page 334 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 176
93
50 844
346
93
93
37 176
93
50 844
93
37 27
Page 335 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MAJID
DENTIST CHRISTOPHER
DENTIST THOMAS
DENTIST SUELLAN
DENTIST SACHIN
DENTIST GABRIEL
DENTIST MOHAMMAD
DENTIST JACK
DENTIST DIONNE
DENTIST TEJESHWINI
DENTIST PRAVIN
DENTIST EMMANUIL
DENTIST MICHAEL
Page 336 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NAVAB 1871635961 1073535027 03/05/2018
DILLON 1184631939 1801199815 07/21/2014
FARRUGIA 1710204888 1710204888 03/19/2018
YAO 1487895421 1710275987 03/04/2013
SOOD 1104949007 1104949007 08/19/2013
PROULX 1386058550 1912225236 02/23/2015
SADEGHI 1568517431 1033124961 12/05/2016
GINGOLD 1003866153 1295997724 05/19/2014
FINLAY 1184717597 1225285158 10/07/2013
BHARATI 1710208509 1437231693 11/13/2017
GOLWALA 1609854108 1609854108 08/28/2017
TEPER 1790834554 1790834554 02/08/2017
KOZLOWSKI 1336259324 1457395766 09/18/2017
Page 337 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11021 NASSAU
2013 2 10462 BRONX
2016 1 14051 ERIE
2012 1 11215 KINGS
2013 1 11590 NASSAU
2014 1 14510 LIVINGSTON
2015 1 10475 BRONX
2013 1 11753 NASSAU
2013 1 10475 BRONX
2016 1 10457 BRONX
2016 1 10457 BRONX
2013 1 11229 KINGS
2015 2 14626 MONROE
Page 338 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BELLEVUE HOSPITAL CENTER (40.715749, -
73.601185)
1455 2094 6
CHRISTOPHER DILLON DDS PLLC (40.85589, -
73.868294)
675 2032 52
FARRUGIA THOMAS CHARLES (42.888143, -
78.795544)
62 2041 63
BRIAN KETOVER DMD LLC (40.65642, -
73.950691)
809 2090 31
SOOD SACHIN DDS (40.715749, -
73.601185)
1455 2094 6
RUSHVILLE HEALTH CENTER INC (42.763754, -
77.765392)
232 2091 59
HARLEM HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SMILE-SAVERS PEDIATRIC DENTISTRY PC (40.85589, -
73.868294)
675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
GOLWALA PRAVIN DDS (40.85589, -
73.868294)
675 2032 52
TEPER EMMANUIL S (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, - 1666 2093 56
Page 339 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
646
37 27
93
645
37 176
93
37 176
37 176
37 176
37 27
50 844
Page 340 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JUDITH
DENTIST HECTOR
DENTIST ERNEST
DENTIST THOMAS
DENTIST EVAN
DENTIST DAVID
DENTIST LARRY
DENTIST MARGARET
DENTIST WARREN
DENTIST JOSEPH
DENTIST LESLIE
DENTIST JEWAN
DENTIST ALEXANDER
Page 341 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OLSHIN 1508932237 1073689600 04/15/2013
MERCEDES 1184613564 1184613564 11/25/2013
GOLDMANN 1760603807 1760603807 01/05/2015
RIUTTA 1437350691 1295997724 05/03/2021
HERSHKOWITZ 1740489889 1740489889 01/19/2015
MASLANSKY 1235278946 1720177066 07/30/2018
GREEN 1245325190 1538111653 03/04/2013
DENNISON 1558430611 1457395766 06/09/2014
WILLIAMS 1578531869 1063577831 09/14/2015
IZZO 1710064696 1366589038 03/30/2015
COHEN 1801870241 1801870241 09/08/2014
SINGH 1649378068 1437231693 11/27/2017
ROCK 1821136367 1295997724 03/29/2021
Page 342 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 11545 NASSAU
2013 1 10455 BRONX
2014 1 11557 NASSAU
2020 4 11753 NASSAU
2014 2 12590 DUTCHESS
2016 5 11249 KINGS
2012 1 11220 KINGS
2013 1 14611 MONROE
2014 1 11226 KINGS
2013 1 11215 KINGS
2014 3 11219 KINGS
2016 1 10457 BRONX
2020 6 11753 NASSAU
Page 343 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
MERCEDES HECTOR LUIS DDS (40.85589, -
73.868294)
675 2032 52
GOLDMANN ERNEST S DDS (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HERSHKOWITZ EVAN SCOTT DDS (41.686216, -
73.840468)
1022 2040 30
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
EAST NY D & T CTR (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
COHEN LESLIE JEAN (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 344 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
93
93
63
37 27
37 27
50 844
37 27
37 27
37 27
37 176
93
Page 345 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARIANA
DENTIST VALERIE
DENTIST MARC
DENTIST BONNIE
DENTIST DIONNE
DENTIST YAKDIEL
DENTIST DAVID
DENTIST LAWRENCE
DENTIST HSILONG
DENTIST GEORGE
DENTIST HOWARD
DENTIST MARK
DENTIST SUR
Page 346 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SAPIR 1033198197 1295997724 04/13/2015
LO 1568479848 1144203498 07/02/2012
BROWN 1396741328 1417027558 11/02/2015
GITMAN 1366688269 1417027558 10/14/2013
FINLAY 1184717597 1225285158 11/02/2015
JIMENEZ 1467425462 1184694291 07/16/2012
WALTUCH 1740327741 1740327741 09/21/2017
NALITT 1316936834 1639315658 09/24/2012
WU 1598745069 1063650125 12/23/2013
NORBERG 1568659142 1790971869 05/07/2012
BOGAN 1619947025 1619947025 05/09/2016
APFEL 1437204054 1720177066 01/14/2019
LEE 1548463425 1295997724 12/31/2018
Page 347 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11753 NASSAU
2011 1 10013 NEW YORK
2014 2 10457 BRONX
2013 1 10457 BRONX
2015 2 10475 BRONX
2011 1 10453 BRONX
2013 1 11219 KINGS
2012 1 11206 KINGS
2012 1 10027 NEW YORK
2011 1 13856 DELAWARE
2015 1 11221 KINGS
2017 6 11249 KINGS
2017 3 11753 NASSAU
Page 348 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHARLES B WANG COMM HTH CTR I (40.726966, -
74.005966)
737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
SMILE-SAVERS PEDIATRIC DENTISTRY PC (40.85589, -
73.868294)
675 2032 52
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
WALTUCH DAVID M DDS (40.65642, -
73.950691)
809 2090 31
LAWRENCE NALITT (40.65642, -
73.950691)
809 2090 31
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
BOGAN HOWARD A DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 349 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 108
37 176
37 176
37 176
37 176
37 27
37 27
37 108
410
37 27
37 27
93
Page 350 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MELISSA
DENTIST GILA
DENTIST IGOR
DENTIST SARI
DENTIST IGOR
DENTIST ADEWALE
DENTIST VICTOR
DENTIST PHILIP
DENTIST RENEE
DENTIST CAROLE
DENTIST PETER
DENTIST CAROLE
DENTIST GABRIEL
Page 351 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COPELLA 1316045297 1912225236 10/15/2012
BEER 1700198769 1295997724 02/24/2020
GUREVICH 1194946533 1194946533 10/07/2013
ROSENWEIN 1750477964 1366589038 05/28/2018
TITOV 1902881964 1902881964 12/03/2018
ADEPETU 1326127713 1326127713 11/22/2016
ROBINSON 1922235399 1922235399 01/12/2015
ZAVELOFF 1881746808 1720177066 05/07/2012
PELLEGRINO 1023240173 1255360517 02/18/2019
GERMAIN 1457480337 1457480337 10/21/2013
MAKULA 1578514329 1598707812 03/18/2013
GERMAIN 1457480337 1457480337 05/23/2016
PROULX 1386058550 1912225236 08/17/2015
Page 352 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2011 1 14604 MONROE
2019 5 11753 NASSAU
2013 1 11214 KINGS
2016 2 11215 KINGS
2014 1 11225 KINGS
2012 1 10470 BRONX
2014 1 10453 BRONX
2011 1 11249 KINGS
2017 3 14420 MONROE
2013 1 11226 KINGS
2012 1 14420 MONROE
2015 2 11226 KINGS
2015 2 14510 LIVINGSTON
Page 353 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GUREVICH IGOR DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
TITOV IGOR DDS (40.65642, -
73.950691)
809 2090 31
ADEPETU ADEWALE DDS (40.85589, -
73.868294)
675 2032 52
ROBINSON VICTOR ALEXEY (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
GERMAIN CAROLE DDS (40.65642, -
73.950691)
809 2090 31
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
GERMAIN CAROLE DDS (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (42.763754, - 232 2091 59
Page 354 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
93
37 27
37 27
37 27
37 176
37 176
37 27
50 844
37 27
50 844
37 27
645
Page 355 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PHILLIP
DENTIST ALLAN
DENTIST MARIA
DENTIST ERIC
DENTIST MONICA
DENTIST BORIS
DENTIST TRAM
DENTIST NEIL
DENTIST THOMAS
DENTIST JOSE
DENTIST JAMES
DENTIST YANA
DENTIST CHUNG HIN
Page 356 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROSENBERG 1457564569 1457564569 03/03/2014
ROFFE 1518009208 1518009208 05/14/2012
HERRERA 1063498046 1124032982 03/05/2018
PLOUMIS 1659599199 1659599199 12/31/2012
MEHRA 1548343080 1548343080 09/13/2019
KATAYEV 1144356247 1184896607 04/13/2015
DUONG 1629371281 1083716088 01/21/2013
GORIN 1962502344 1962502344 08/24/2015
RIUTTA 1437350691 1295997724 08/05/2019
ANDRICKSON 1184819757 1487826053 01/21/2013
WIELAND 1669691739 1881789014 04/25/2016
ZAMECHECK 1407900285 1568537561 12/17/2012
LAU 1184056327 1508038514 09/03/2019
Page 357 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11219 KINGS
2011 1 11520 NASSAU
2016 1 10038 NEW YORK
2012 1 11237 KINGS
2015 1 10459 BRONX
2014 1 10454 BRONX
2011 1 14605 MONROE
2011 1 11218 KINGS
2018 2 11753 NASSAU
2012 1 11206 KINGS
2015 1 14207 ERIE
2012 1 10459 BRONX
2014 1 11220 KINGS
Page 358 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.765392)
ROSENBERG PHILIP DDS (40.65642, -
73.950691)
809 2090 31
ROFFE ALLAN DDS (40.715749, -
73.601185)
1455 2094 6
CONEY ISLAND HOSPITAL (40.726966, -
74.005966)
737 2095 50
PLOUMIS ERIC J DMD (40.65642, -
73.950691)
809 2090 31
MEHRA MONICA DDS (40.85589, -
73.868294)
675 2032 52
WILLIS DENTAL CARE PLLC (40.85589, -
73.868294)
675 2032 52
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ANDRICKSON DENTAL OFFICE PC (40.65642, -
73.950691)
809 2090 31
NORTHWEST BUFFALO COMM H C (42.888143, -
78.795544)
62 2041 63
SETHI DENTAL SERVICES PLLC (40.85589, -
73.868294)
675 2032 52
SEVENTH AVENUE DENTAL PC (40.65642, - 809 2090 31
Page 359 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 108
37 27
37 176
37 176
50 844
37 27
93
37 27
646
37 176
37 27
Page 360 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KONSTANTINOS
DENTIST WINARDO
DENTIST ZAKHAR
DENTIST PETER
DENTIST GARY
DENTIST SEAN
DENTIST A NA
DENTIST DANIEL
DENTIST MARLON
DENTIST JOSEPH
DENTIST GILBERT
DENTIST ANGELA
DENTIST MARY
Page 361 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PAVLAKOS 1245359066 1538111653 04/22/2013
LOMBOY 1063620425 1962716050 04/30/2018
KREYMAN 1295871390 1295871390 09/21/2017
LOFURNO 1255368262 1457395766 08/20/2012
NADLER 1740270677 1740270677 11/18/2013
MASKELL 1841280070 1073503215 05/01/2017
PEREZ-ROBINSON 1710199765 1710199765 04/01/2019
GATI 1497165930 1295997724 12/25/2017
MOORE 1467563262 1467563262 09/01/2014
PAGLIACCI 1619015476 1619015476 03/26/2012
SPECTOR 1992708374 1790971869 11/23/2015
ZAVULUNOVA 1508056136 1508056136 01/11/2016
ZEBRACKI 1982793311 1912225236 08/17/2015
Page 362 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11220 KINGS
2015 2 11575 NASSAU
2013 1 11229 KINGS
2011 1 14526 MONROE
2013 1 11218 KINGS
2013 1 11206 KINGS
2014 2 10472 BRONX
2016 2 11753 NASSAU
2014 1 10462 BRONX
2011 1 14216 ERIE
2015 1 13856 DELAWARE
2014 1 11220 KINGS
2015 2 14607 MONROE
Page 363 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
KREYMAN ZAKHAR (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
NADLER GARY STEVEN DDS (40.65642, -
73.950691)
809 2090 31
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
PEREZ-ROBINSON ANA M DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MOORE MARLON K DDS (40.85589, -
73.868294)
675 2032 52
PAGLIACCI JOSEPH DDS (42.888143, -
78.795544)
62 2041 63
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
ZAVULUNOVA ANGELA DDS (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (43.161748, - 1666 2093 56
Page 364 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 27
50 844
37 27
37 27
37 176
93
37 176
646
410
37 27
50 844
Page 365 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BRUCE
DENTIST ELHAM
DENTIST AMALYA
DENTIST JORGE
DENTIST VLADISLAV
DENTIST JOANNE
DENTIST THIERRY
DENTIST JUNHO
DENTIST NELFA
DENTIST AMIN
DENTIST HOWARD
DENTIST ENDALE
DENTIST ALEKSANDR
Page 366 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUM 1548259799 1164693784 09/29/2014
SHADPOUR 1548519960 1396059499 03/09/2020
IGITYAN 1720377153 1295997724 03/27/2017
QUEZADA 1245407824 1245407824 09/15/2014
GERTS 1417023516 1417023516 05/05/2014
LIM 1336472166 1083716088 12/07/2015
ABITBOL 1407919400 1295997724 12/24/2018
JUNG 1295859718 1497926141 10/21/2013
CESPEDES 1336120559 1336120559 07/08/2016
JOSEPH 1245432590 1295997724 03/24/2014
SILVER 1578540381 1578540381 04/07/2014
TEFERA 1417004102 1417004102 11/02/2015
ONATSKIY 1669434015 1669434015 12/03/2018
Page 367 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11215 KINGS
2019 4 11575 NASSAU
2016 1 11753 NASSAU
2014 1 11542 NASSAU
2013 1 11238 KINGS
2015 2 14605 MONROE
2017 3 11753 NASSAU
2013 1 12526 COLUMBIA
2012 1 10034 NEW YORK
2013 1 11753 NASSAU
2013 1 11211 KINGS
2015 2 11225 KINGS
2014 1 11204 KINGS
Page 368 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
LUM AND SASSON PTRS (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
QUEZADA JORGE A DDS (40.715749, -
73.601185)
1455 2094 6
GERTS VLADISLAV DDS (40.65642, -
73.950691)
809 2090 31
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
TRU-DENTAL PC (42.276913, -
73.682168)
977 619 33
CESPEDES NELFA (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SILVER HOWARD DDS (40.65642, -
73.950691)
809 2090 31
TEFERA ENDALE MULAT DDS (40.65642, -
73.950691)
809 2090 31
ONATSKIY ALEKSANDR G DDS (40.65642, - 809 2090 31
Page 369 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
93
93
37 27
50 844
93
388
37 108
93
37 27
37 27
37 27
Page 370 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PEDRO
DENTIST MARGARETH
DENTIST ROBERT
DENTIST AHMAD
DENTIST FELIX
DENTIST SONIA
DENTIST SHIRLEY
DENTIST NATALIE
DENTIST BORIS
DENTIST NAVJOT
DENTIST GRACE
DENTIST JACK
DENTIST ROBERT
Page 371 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MATEO 1871658815 1871658815 01/21/2013
MINTZBERG 1851587570 1952366973 10/21/2013
OLAN 1881684058 1295997724 08/05/2019
HEDAYATI 1407063480 1295997724 12/25/2017
RODRIGUEZ 1164515649 1164515649 03/17/2017
GRAY 1750583290 1750583290 07/20/2017
HU 1477840668 1508038514 11/02/2015
BARCLAY 1124112131 1982674917 03/16/2015
BAKMAN 1497898779 1497898779 05/15/2017
ALAG 1578971446 1255360517 08/28/2017
HAN 1386850303 1639247976 06/23/2014
BROWN 1538315130 1538315130 02/17/2014
OLAN 1881684058 1295997724 02/24/2020
Page 372 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11232 KINGS
2013 1 10455 BRONX
2018 4 11753 NASSAU
2016 2 11753 NASSAU
2012 1 10468 BRONX
2013 1 11208 KINGS
2014 1 11220 KINGS
2014 2 12010 MONTGOMERY
2016 1 11204 KINGS
2016 1 14621 MONROE
2013 1 10463 BRONX
2013 1 11213 KINGS
2019 5 11753 NASSAU
Page 373 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
MATEO PEDRO DDS (40.65642, -
73.950691)
809 2090 31
MODERN ORTHODONTICS PC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
RODRIGUEZ FELIX JUAN DDS (40.85589, -
73.868294)
675 2032 52
GRAY SONIA ELAINE DDS (40.65642, -
73.950691)
809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
BAKMAN BORIS A DDS (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
BROWN JACK (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 374 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
93
93
37 176
37 27
37 27
699
37 27
50 844
37 176
37 27
93
Page 375 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MAHMOUD
DENTIST RONY
DENTIST MOHAMMED
DENTIST MARGARET
DENTIST REGINA
DENTIST GEOFFREY
DENTIST KATHERINE
DENTIST ROBERT
DENTIST MATTHEW
DENTIST ALAN
DENTIST BERTHA
DENTIST M
DENTIST LYUBOV
Page 376 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALI 1245251925 1972781375 05/31/2021
MASHIHI 1437398104 1437398104 12/16/2013
MUKIT 1871685719 1871685719 08/11/2014
YEW 1699181982 1972781375 02/18/2019
HENDRICKS 1790099075 1699076083 10/07/2013
HALBERSTADT 1083719223 1083719223 08/19/2013
COSTER 1447338686 1902077928 10/08/2012
PESKIN 1720118375 1447298070 04/23/2018
YARNIS 1346460227 1346460227 12/17/2012
MASKELL 1144211178 1073503215 10/21/2013
BRAVO 1124155353 1124155353 06/12/2017
TANNENBAUM 1639224256 1720177066 10/30/2017
LIBMAN 1487659785 1255459764 03/17/2014
Page 377 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 5 13901 BROOME
2013 1 11550 NASSAU
2013 2 11233 KINGS
2017 2 13901 BROOME
2013 1 11040 NASSAU
2013 1 10467 BRONX
2011 1 14216 ERIE
2016 1 11237 KINGS
2012 1 12508 DUTCHESS
2013 1 11206 KINGS
2016 1 11550 NASSAU
2015 3 11249 KINGS
2013 1 11204 KINGS
Page 378 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MASHIHI RONY DDS (40.715749, -
73.601185)
1455 2094 6
MUKIT MD ABDUL DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
URBAN PEDIATRIC DENTAL PC (40.715749, -
73.601185)
1455 2094 6
HALBERSTADT GEOFFREY S DDS (40.85589, -
73.868294)
675 2032 52
KENMORE QUALITY CARE DENTISTRY (42.888143, -
78.795544)
62 2041 63
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
YARNIS MATTHEW L (41.686216, -
73.840468)
1022 2040 30
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
BRAVO BERTHA DINA DDS (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
Q DENTAL PC (40.65642, - 809 2090 31
Page 379 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
93
37 27
346
93
37 176
646
37 27
63
37 27
93
37 27
37 27
Page 380 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHARLES
DENTIST ALLAN
DENTIST LINDA
DENTIST SHAHRYAR
DENTIST RUBEN
DENTIST IOANA
DENTIST MOEEN
DENTIST IRKYAM
DENTIST ALI
DENTIST KAREN
DENTIST SHEEBA
DENTIST GURAM
DENTIST ELA
Page 381 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BEARD 1558338087 1033178561 07/31/2017
ROFFE 1518009208 1518009208 08/31/2016
RASUBALA 1134351281 1982787537 10/09/2017
SEDGH 1851506596 1851506596 09/23/2013
CUETO 1710964986 1710964986 07/20/2018
SARBESCU 1609088384 1972781375 09/14/2020
SHEIKH 1144313545 1144313545 12/15/2017
AULOVA 1871612838 1871612838 12/29/2020
JAZAYERI 1174748123 1578714283 10/22/2012
MCDONNELL 1104966449 1104966449 02/18/2013
CHAUDHRY 1497060438 1619969458 02/12/2018
YAKOBASHVILI 1720186745 1548558836 12/30/2013
ACUESTA-LAURETA 1437294543 1144403734 12/29/2017
Page 382 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11216 KINGS
2011 1 11520 NASSAU
2016 1 14620 MONROE
2013 1 11206 KINGS
2013 1 11237 KINGS
2019 4 13901 BROOME
2012 1 11220 KINGS
2014 1 11229 KINGS
2012 1 11212 KINGS
2012 1 11223 KINGS
2015 2 12601 DUTCHESS
2013 1 10451 BRONX
2013 1 10462 BRONX
Page 383 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
ROFFE ALLAN DDS (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
SEDGH SHAHRYAR DDS (40.65642, -
73.950691)
809 2090 31
CUETO RUBEN DARIO DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
SHEIKH MOEEN DDS (40.65642, -
73.950691)
809 2090 31
AULOVA IRKYAM DDS (40.65642, -
73.950691)
809 2090 31
J & J DENTAL COSMETIC PLAZA PC (40.65642, -
73.950691)
809 2090 31
KAREN A MCDONNELL DDS PC (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
GLAD DENTAL PC (40.85589, -
73.868294)
675 2032 52
CIRCLE FAMILY DENTAL PC (40.85589, - 675 2032 52
Page 384 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
50 844
37 27
37 27
346
37 27
37 27
37 27
37 27
63
37 176
37 176
Page 385 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARGARET
DENTIST ANN
DENTIST THOMAS
DENTIST JOSHUA
DENTIST PETER
DENTIST AFSHIN
DENTIST GENNADIY
DENTIST SHEFALI
DENTIST JOANNE
DENTIST SUNCZERAE
DENTIST NANCY
DENTIST OHM
DENTIST SHAKUNTALA
Page 386 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YEW 1699181982 1972781375 12/05/2016
SIMON 1407224454 1265596548 07/31/2017
MORTILLARO 1063536787 1063536787 09/16/2013
CANTER 1568509149 1568509149 09/30/2019
ANTONELLIS 1851474142 1437231693 11/13/2017
SHAMAIZADEH 1992981054 1972781375 10/23/2017
SIMONOVSKIY 1992842678 1992842678 01/06/2014
MARCHAWALA 1316144116 1316144116 12/22/2014
LIM 1336472166 1083716088 01/20/2014
KUSHKITUAH 1639218696 1639218696 03/16/2015
YU 1801021944 1730124025 03/26/2018
PATEL 1871832048 1942525985 10/09/2017
MARKALE 1619942208 1619942208 07/29/2013
Page 387 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 13901 BROOME
2016 1 10459 BRONX
2013 1 11228 KINGS
2018 6 11204 KINGS
2016 1 10456 BRONX
2016 1 13901 BROOME
2013 1 11230 KINGS
2014 1 11550 NASSAU
2013 1 14605 MONROE
2014 1 11221 KINGS
2016 2 10027 NEW YORK
2016 1 10455 BRONX
2012 1 10452 BRONX
Page 388 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
URBAN HEALTH PLAN INC (40.85589, -
73.868294)
675 2032 52
MORTILLARO THOMAS ANTHONY DDS (40.65642, -
73.950691)
809 2090 31
CANTER JOSHUA JAY DDS (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
SIMONOVSKIY GENNADIY DDS (40.65642, -
73.950691)
809 2090 31
MARCHAWALA SHEFALI DDS (40.715749, -
73.601185)
1455 2094 6
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
KUSHKITUAH SUNCZERAE SHANEE DDS (40.65642, -
73.950691)
809 2090 31
CHILDRENS AID SOC-LORD MEM CL (40.726966, -
74.005966)
737 2095 50
OPEN DENTAL PC (40.85589, -
73.868294)
675 2032 52
MARKALE SHAKUNTALA J DDS (40.85589, - 675 2032 52
Page 389 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
37 176
37 27
37 27
37 176
346
37 27
93
50 844
37 27
37 108
37 176
37 176
Page 390 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IRA
DENTIST RICARDO
DENTIST ELLIOT
DENTIST DANIELLE
DENTIST QUANG
DENTIST NIKKI
DENTIST ALEXANDER
DENTIST MARIA
DENTIST BARBARA
DENTIST MARK
DENTIST GREGORY
DENTIST SHASHIDHAR
DENTIST HULDA
Page 391 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WARHEIT 1487891412 1295997724 03/24/2014
VELOZ 1427161116 1427161116 10/26/2017
LORBER 1649423153 1649423153 12/03/2018
FRIDLINE 1295964203 1538111653 02/18/2013
NGUYEN 1508857798 1508857798 08/18/2014
KABRA 1295969244 1437231693 05/30/2016
ROCK 1821136367 1295997724 01/19/2015
DILLE 1902986797 1609946821 02/03/2014
OTTENIO 1073621371 1538111653 03/25/2013
BIRNBAUM 1043202179 1538339072 07/09/2012
TADDEO 1821269937 1477764496 08/26/2013
RAMCHANDRAREDDY 1033317813 1720257512 01/27/2014
CLAUDE 1023165693 1336289842 08/01/2017
Page 392 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2013 1 10455 BRONX
2013 1 11205 KINGS
2012 1 11215 KINGS
2014 1 11220 KINGS
2015 1 10456 BRONX
2014 1 11753 NASSAU
2013 1 13601 JEFFERSON
2012 1 11220 KINGS
2011 1 11223 KINGS
2013 2 10010 NEW YORK
2013 1 14226 ERIE
2013 1 11221 KINGS
Page 393 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
VELOZ RICARDO J DDS (40.85589, -
73.868294)
675 2032 52
LORBER ELLIOT MARK DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
NGUYEN QUANG M DDS (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
GELFMAN & BIRNBAUM ORAL SURG (40.65642, -
73.950691)
809 2090 31
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
ALEXANDER D MILLER DDS (40.65642, - 809 2090 31
Page 394 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
37 27
37 27
37 27
37 176
93
705
37 27
37 27
37 108
646
37 27
Page 395 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HOWARD
DENTIST PHILIP
DENTIST MARC
DENTIST KERISA
DENTIST ANTONIA
DENTIST GYULNARA
DENTIST SHARON
DENTIST MICHAEL
DENTIST VICTOR
DENTIST EDWARD
DENTIST KIRTI
DENTIST MARGARET
DENTIST STANLEY
Page 396 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHI 1144431768 1144431768 08/19/2013
HIRSCHHORN 1487820221 1295997724 03/24/2014
HERTZ 1952383663 1952383663 02/17/2014
HARRIOTT 1356607600 1295997724 04/14/2014
KOLOKYTHAS 1992842793 1346285657 03/19/2018
KYAZIMOVA 1841279544 1154592020 11/03/2017
DISTANT JOHNSON 1730170457 1730170457 06/26/2017
GELFMAN 1548439805 1831303569 09/29/2021
NANNINI 1750341368 1801857172 07/31/2017
CHALOUH 1780866517 1780866517 02/09/2017
SOHAL 1265784672 1649526294 12/29/2020
DENNISON 1558430611 1457395766 09/11/2017
MATTHEWS 1144665506 1972781375 12/23/2019
Page 397 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10013 NEW YORK
2013 1 11753 NASSAU
2013 1 11230 KINGS
2013 1 11753 NASSAU
2016 2 14642 MONROE
2013 1 11224 KINGS
2013 1 10466 BRONX
2014 1 12205 ALBANY
2016 1 11554 NASSAU
2013 2 10451 BRONX
2014 1 11229 KINGS
2015 2 14611 MONROE
2018 2 13901 BROOME
Page 398 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
CHI HOWARD CHENG-HAO DDS (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARC B HERTZ DDS PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
STRONG MEMORIAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
GULMAR DENTAL PC (40.65642, -
73.950691)
809 2090 31
BRIGHT SMILES DENTAL PLLC (40.85589, -
73.868294)
675 2032 52
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -
73.601185)
1455 2094 6
CHALOUH EDWARD DDS (40.85589, -
73.868294)
675 2032 52
OCEAN AVE FAMILY DENTAL PC (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 399 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
93
37 27
93
50 844
37 27
37 176
1 573
93
37 176
37 27
50 844
346
Page 400 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST AKANKSHA
DENTIST JUDITH
DENTIST M
DENTIST SHEEBA
DENTIST ROBERT
DENTIST ASHU
DENTIST CHANDRA
DENTIST DESTINY
DENTIST OLEG
DENTIST EUGENE
DENTIST MARK
DENTIST KIRTI
Page 401 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADLER 1700898418 1700898418 11/11/2013
GERA 1598921728 1477764496 08/14/2017
OLSHIN 1508932237 1073689600 09/11/2017
TANNENBAUM 1639224256 1720177066 07/13/2015
CHAUDHRY 1497060438 1619969458 01/21/2019
MARGOLIN 1194759712 1548367873 05/23/2016
SACHDEV 1477784452 1952423600 12/23/2019
KAUSHIK 1023160124 1295997724 02/24/2020
BEAN 1558709378 1295997724 02/24/2020
CHEREZOV 1538206404 1538206404 05/04/2018
BURBACKI 1437230026 1437230026 01/21/2013
APFEL 1437204054 1720177066 04/22/2013
TEWARI 1730396490 1730396490 02/09/2017
Page 402 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11219 KINGS
2015 4 10010 NEW YORK
2015 5 11545 NASSAU
2014 2 11249 KINGS
2017 4 12601 DUTCHESS
2015 1 10457 BRONX
2018 3 11552 NASSAU
2019 5 11753 NASSAU
2019 4 11753 NASSAU
2013 1 11235 KINGS
2012 1 11223 KINGS
2012 2 11249 KINGS
2012 1 10467 BRONX
Page 403 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
ADLER ROBERT DDS (40.65642, -
73.950691)
809 2090 31
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ST BARNABAS HOSPITAL (40.85589, -
73.868294)
675 2032 52
ASHU SACHDEV DDS PC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHEREZOV OLEG (40.65642, -
73.950691)
809 2090 31
BURBACKI EUGENE DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
TEWARI KIRTI (40.85589, - 675 2032 52
Page 404 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
93
37 27
63
37 176
93
93
93
37 27
37 27
37 27
37 176
Page 405 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MICHAEL
DENTIST BETHANY
DENTIST EVELYN
DENTIST BRIAN
DENTIST MARIO
DENTIST KAREEM
DENTIST CARLOS
DENTIST MARTINA
DENTIST USMAN
DENTIST RICHARD
DENTIST MARINA
DENTIST SIMERJIT
DENTIST PAUL
Page 406 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GITLIN 1912051236 1912051236 07/07/2014
HARRIS 1831478601 1538111653 04/27/2015
TEJEDA 1811994924 1417027558 04/30/2018
MCDONALD 1689841942 1619191855 11/17/2014
TUCHMAN 1275556425 1295997724 12/31/2018
FATOUH 1295981157 1295981157 07/08/2016
ALFONSO 1528111580 1528111580 02/17/2014
BALLAST 1558481937 1558481937 07/20/2017
ALI 1265751937 1912225236 12/08/2014
GIDDON 1295796779 1811059728 10/25/2019
HOROWITZ 1679617179 1679617179 04/07/2014
KAUR 1801023395 1295997724 01/01/2018
MARKEL 1396976486 1295997724 08/05/2019
Page 407 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11235 KINGS
2014 1 11220 KINGS
2016 2 10457 BRONX
2014 1 14127 ERIE
2017 3 11753 NASSAU
2012 1 10472 BRONX
2013 1 10034 NEW YORK
2013 1 10033 NEW YORK
2014 1 14607 MONROE
2014 1 11201 KINGS
2013 1 11218 KINGS
2016 2 11753 NASSAU
2018 4 11753 NASSAU
Page 408 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
GITLIN MICHAEL DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
FATOUH KAREEM SAMY DDS (40.85589, -
73.868294)
675 2032 52
ALFONSO CARLOS DDS (40.726966, -
74.005966)
737 2095 50
BALLAST MARTINA MARIA DDS (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
HANSON PLACE DENTAL ASSOCIATES LLP (40.65642, -
73.950691)
809 2090 31
HOROWITZ MARINA (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 409 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
646
93
37 176
37 108
37 108
50 844
37 27
37 27
93
93
Page 410 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHANDRA
DENTIST DAVID
DENTIST RASHED
DENTIST PAUL
DENTIST LAWRENCE
DENTIST CARMEN
DENTIST PHILIP
DENTIST SANGEETA
DENTIST MARIA
DENTIST JAEJIN
DENTIST IRVING
DENTIST JENNIFER
DENTIST LATOYA
Page 411 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAUSHIK 1023160124 1295997724 10/22/2018
OLSEN 1902003452 1538111653 02/16/2015
RASHED 1902897408 1902897408 08/05/2013
KIM 1174806525 1174806525 11/18/2013
LIMB 1013094929 1437231693 04/16/2018
RIJOS 1780655365 1780655365 08/12/2013
ZAVELOFF 1881746808 1720177066 07/13/2015
GAJENDRA 1851542203 1982787537 04/03/2017
KAROUNOS 1720202708 1619969458 07/13/2015
HONG 1508012667 1508012667 05/01/2017
BRUCK 1720173818 1720173818 02/07/2019
TRAN 1578879110 1508038514 09/07/2015
SCOTT 1063743292 1083716088 04/07/2014
Page 412 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 3 11753 NASSAU
2014 1 11220 KINGS
2013 1 11220 KINGS
2013 1 10460 BRONX
2015 1 10457 BRONX
2013 1 10468 BRONX
2014 2 11249 KINGS
2016 1 14620 MONROE
2015 1 12501 DUTCHESS
2013 1 10461 BRONX
2014 1 11219 KINGS
2014 1 11220 KINGS
2013 1 14605 MONROE
Page 413 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
KIM PAUL JOON (40.85589, -
73.868294)
675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
RIJOS CARMEN MIREYA DDS (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
HONG JAEJIN DDS (40.85589, -
73.868294)
675 2032 52
BRUCK IRVING DDS (40.65642, -
73.950691)
809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
ANTHONY L JORDAN HEALTH CTR (43.161748, - 1666 2093 56
Page 414 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 27
37 176
37 176
37 176
37 27
50 844
63
37 176
37 27
37 27
50 844
Page 415 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IGOR
DENTIST LINDA
DENTIST GURINDER
DENTIST KIM
DENTIST MARIA
DENTIST EUGENE
DENTIST JAMIE
DENTIST JIM
DENTIST GAIN
DENTIST HRISOULA
DENTIST ZAHRA
DENTIST DORIS
DENTIST JUAN
Page 416 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NELIOUBINE 1629285655 1629285655 12/30/2013
KOTMEL 1619075306 1538111653 07/29/2013
WADHWA 1013001460 1831303569 09/29/2021
GOLDMAN 1689634404 1437231693 11/06/2017
ACOSTA 1467500157 1467500157 01/28/2016
SIBICK 1699720623 1720257512 10/15/2012
CHARLAND 1063700599 1982674917 03/26/2018
GHARDA 1184843211 1295997724 12/25/2017
LU 1265415509 1144203498 07/02/2012
PAPADOPOULOS 1639264823 1619969458 03/09/2015
OMAR 1174801419 1184694291 04/28/2014
OHEVSHALOM 1225028467 1225028467 08/12/2013
QUINTANAR 1396936506 1033178561 05/28/2018
Page 417 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11225 KINGS
2012 1 11215 KINGS
2014 1 12205 ALBANY
2016 1 10456 BRONX
2012 1 10032 NEW YORK
2011 1 14226 ERIE
2016 3 12010 MONTGOMERY
2016 2 11753 NASSAU
2011 1 10013 NEW YORK
2014 2 12601 DUTCHESS
2013 1 10453 BRONX
2013 1 11229 KINGS
2016 1 11216 KINGS
Page 418 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
NELUBIN IGOR DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
ACOSTA MATOS MARIA DEL SOCORRO (40.726966, -
74.005966)
737 2095 50
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHARLES B WANG COMM HTH CTR I (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
SHALOM DENTAL LLC (40.65642, -
73.950691)
809 2090 31
BED STUY FAMILY HLTH CTR (40.65642, - 809 2090 31
Page 419 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
1 573
37 176
37 108
646
699
93
37 108
63
37 176
37 27
37 27
Page 420 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TRISH
DENTIST MARINA
DENTIST DAVID
DENTIST GREGORY
DENTIST STEVE
DENTIST JACK
DENTIST IRIT
DENTIST ROBERT
DENTIST HOWARD
DENTIST RAISA
DENTIST GILDA
DENTIST STEWART
DENTIST HUGH
Page 421 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIANG 1588097893 1295997724 12/05/2016
SKROMBOLAS 1659787042 1457395766 05/08/2017
HOU 1659583151 1295997724 08/05/2019
MADDALENA 1033319066 1619969458 06/25/2018
MANZON 1811093404 1538339072 05/07/2012
KASSAB 1760473888 1760473888 08/26/2013
SUSSMAN MIROCZNIK 1447305065 1720177066 09/11/2017
SHANOCK 1023144110 1023144110 07/06/2015
KRIGSMAN 1528168283 1295997724 03/24/2014
SIRKOVICH 1780626176 1336289842 01/20/2014
BARBOUR 1528064946 1528064946 02/22/2016
LAZOW 1295701779 1043224355 07/27/2015
POLLACK 1447305073 1720177066 04/22/2013
Page 422 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11753 NASSAU
2015 1 14611 MONROE
2018 4 11753 NASSAU
2016 3 12508 DUTCHESS
2011 1 11223 KINGS
2012 1 11208 KINGS
2015 4 11249 KINGS
2015 1 10475 BRONX
2013 1 11753 NASSAU
2013 1 11221 KINGS
2014 2 10455 BRONX
2014 1 11203 KINGS
2012 2 11249 KINGS
Page 423 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
GELFMAN & BIRNBAUM ORAL SURG (40.65642, -
73.950691)
809 2090 31
KASSAB JACK DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
SHANOCK ROBERT S DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ALEXANDER D MILLER DDS (40.65642, -
73.950691)
809 2090 31
BARBOUR GILDA MARINA DDS (40.85589, -
73.868294)
675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 424 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
50 844
93
63
37 27
37 27
37 27
37 176
93
37 27
37 176
37 27
37 27
Page 425 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TABINDA
DENTIST ARVINDER
DENTIST FALGUNI
DENTIST ROBERT
DENTIST JOSHUA
DENTIST MICHAEL
DENTIST JING YAO
DENTIST JIN
DENTIST JOHN
DENTIST GEORGE
DENTIST VERONICA
DENTIST JACKIE
DENTIST MICHAEL
Page 426 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ANWAR 1316259534 1295997724 03/24/2014
SINGH 1982746871 1982746871 08/19/2013
MEHTA 1124000807 1578612412 01/21/2019
ADLER 1700898418 1700898418 04/20/2015
CANTER 1568509149 1568509149 04/06/2015
WILSON 1972654192 1972781375 02/18/2019
YE 1750443958 1396059499 03/09/2020
SUNG 1942565965 1972781375 02/29/2016
MCINTYRE 1992708689 1366589038 07/29/2013
SEARS 1255602140 1295997724 04/13/2015
DIAZ 1205123163 1205123163 02/07/2019
LAM 1689016941 1609946821 06/25/2018
ACQUISTA 1962529198 1548229958 11/02/2015
Page 427 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2013 1 11211 KINGS
2017 2 11212 KINGS
2014 2 11219 KINGS
2014 2 11204 KINGS
2017 2 13901 BROOME
2019 5 11575 NASSAU
2015 1 13901 BROOME
2012 1 11215 KINGS
2014 1 11753 NASSAU
2014 1 10469 BRONX
2016 2 13601 JEFFERSON
2014 1 11209 KINGS
Page 428 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SINGH ARVINDER DMD (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
ADLER ROBERT DDS (40.65642, -
73.950691)
809 2090 31
CANTER JOSHUA JAY DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
DIAZ VERONICA (40.85589, -
73.868294)
675 2032 52
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
METROPOLITAN DENTAL ASSOC DDS (40.65642, - 809 2090 31
Page 429 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 27
37 27
37 27
346
93
346
37 27
93
37 176
705
37 27
Page 430 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GILA
DENTIST MOHAMMAD
DENTIST FLORENCE
DENTIST MARC
DENTIST VIKAS
DENTIST ALISON
DENTIST NIRUPA
DENTIST PIERPAOLO
DENTIST MITCHELL
DENTIST DORIS
DENTIST JASON
DENTIST ROBERTO
DENTIST AMALYA
Page 431 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INSLER BEER 1700198769 1972781375 10/29/2012
BILLAH 1437132040 1437132040 09/15/2014
TEMBA 1659381820 1124032982 05/02/2016
BROWN 1396741328 1417027558 05/07/2018
GOEL 1780891846 1780891846 02/12/2016
NEWGARD 1407086838 1538111653 03/25/2013
GANDHI 1497879308 1366507758 01/13/2014
PRECERUTI 1265465611 1831303569 09/07/2015
BIALOR 1790705614 1295997724 03/24/2014
ORTIZ 1972578904 1972578904 08/19/2013
LIEM 1861558736 1861558736 10/29/2012
PARRA 1790985505 1972781375 12/16/2019
IGITYAN 1720377153 1295997724 12/31/2018
Page 432 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 13901 BROOME
2014 1 11211 KINGS
2015 1 11229 KINGS
2016 3 10457 BRONX
2012 2 13035 MADISON
2012 1 11220 KINGS
2013 2 10460 BRONX
2014 1 12205 ALBANY
2013 1 11753 NASSAU
2013 1 11520 NASSAU
2012 1 11204 KINGS
2018 3 13901 BROOME
2017 2 11753 NASSAU
Page 433 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BILLAH MOHAMMAD M DDS (40.65642, -
73.950691)
809 2090 31
CONEY ISLAND HOSPITAL (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
GOEL VIKAS DDS (42.986917, -
75.720031)
351 2092 46
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
UCP ASSO OF NYS STATEN IS (40.85589, -
73.868294)
675 2032 52
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ORTIZ-ABREU DORIS (40.715749, -
73.601185)
1455 2094 6
LIEM JASON DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 434 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
37 27
37 27
37 176
723
37 27
37 176
1 573
93
93
37 27
346
93
Page 435 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEPHANIE
DENTIST SUNCZERAE
DENTIST ERIC
DENTIST THEODORE
DENTIST HOWARD
DENTIST NAM HEE
DENTIST ARTHUR
DENTIST NATALIA
DENTIST SIU
DENTIST MARJORIE
DENTIST RONALD
DENTIST DAVID
DENTIST JANE
Page 436 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DROZ 1356660054 1578612412 01/04/2016
KUSHKITUAH 1639218696 1639218696 03/01/2019
LEIBOWITZ 1538188008 1538188008 09/02/2013
WOHL 1306926464 1306926464 12/02/2013
BLOOM 1760507024 1295997724 03/24/2014
PARK 1467756411 1477764496 08/07/2017
ELIAS 1720130909 1720177066 09/04/2017
BLAZHKEVICH 1184613416 1184613416 08/01/2017
LEE 1437241908 1477764496 04/16/2018
MCDONALD 1538259973 1538259973 03/11/2013
DEUTSCH 1215063722 1215063722 01/22/2018
ASAD 1992928741 1992928741 08/13/2018
TCHILINGUIRIAN 1154490969 1902127897 02/06/2018
Page 437 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11212 KINGS
2014 1 11221 KINGS
2013 1 11230 KINGS
2013 1 11229 KINGS
2013 1 11753 NASSAU
2016 1 10026 NEW YORK
2016 1 11249 KINGS
2013 1 11207 KINGS
2015 2 10010 NEW YORK
2012 1 11210 KINGS
2013 1 11210 KINGS
2013 1 11218 KINGS
2013 1 10463 BRONX
Page 438 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
KUSHKITUAH SUNCZERAE SHANEE DDS (40.65642, -
73.950691)
809 2090 31
LEIBOWITZ ERIC (40.65642, -
73.950691)
809 2090 31
WOHL THEODORE SAMI DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BLAZHKEVICH NATALIA DDS (40.65642, -
73.950691)
809 2090 31
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
MCDONALD MARJORIE EVADNE DDS (40.65642, -
73.950691)
809 2090 31
DEUTSCH RONALD DDS (40.65642, -
73.950691)
809 2090 31
ASAD DAVID DDS (40.65642, -
73.950691)
809 2090 31
COHENS GENERAL DENTAL PLLC (40.85589, - 675 2032 52
Page 439 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
37 27
93
37 108
37 27
37 27
37 108
37 27
37 27
37 27
37 176
Page 440 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LAURO
DENTIST MARIA
DENTIST BETH
DENTIST RONIT
DENTIST AFSHIN
DENTIST PHILIP
DENTIST ANNE
DENTIST CHAIM
DENTIST ALEXANDER
DENTIST NEIL
DENTIST THIERRY
DENTIST JAMSHED
DENTIST JUNGHWAN
Page 441 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MEDRANO-SALDANA 1972573004 1972573004 05/30/2016
ABEYOUNIS 1881606218 1457395766 08/28/2017
BOGUSLAW 1831283852 1437231693 05/30/2016
GOLD 1285933390 1295729408 07/03/2017
SHAMAIZADEH 1992981054 1972781375 12/16/2019
WILLIAMS 1104073964 1477850279 03/02/2015
SHEAR 1164410213 1619191855 01/18/2016
KLEIN 1114001518 1578625950 02/18/2013
ROCK 1821136367 1295997724 12/31/2018
GORIN 1962502344 1962502344 10/30/2015
ABITBOL 1407919400 1295997724 02/15/2021
GHARDA 1184843211 1295997724 02/24/2020
SOH 1528278769 1639247976 06/23/2014
Page 442 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 2 11220 KINGS
2015 2 14611 MONROE
2015 1 10456 BRONX
2016 1 10473 BRONX
2018 3 13901 BROOME
2014 1 14127 ERIE
2015 1 14218 ERIE
2012 1 11235 KINGS
2017 3 11753 NASSAU
2014 3 11218 KINGS
2020 6 11753 NASSAU
2019 5 11753 NASSAU
2013 1 10463 BRONX
Page 443 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
MEDRANO-SALDANA LAURO F DDS (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
DENTAL GROUP PC (42.888143, -
78.795544)
62 2041 63
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
FIRST MEDCARE PRIMARY CARE (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ELLIOT SABBAGH DDS PC (40.85589, - 675 2032 52
Page 444 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
37 176
37 176
346
646
646
37 27
93
37 27
93
93
37 176
Page 445 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NASSI
DENTIST CHETAN
DENTIST KIRTI
DENTIST NASSEF
DENTIST JUDITH
DENTIST ELEFTHERIOS
DENTIST APARNA
DENTIST MOISE
DENTIST MARC
DENTIST IRIT
DENTIST MICHAEL
DENTIST MARIA
DENTIST TZIRI
Page 446 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FIGDOR 1821228438 1821228438 05/30/2016
SAWHNEY 1396062212 1295997724 12/31/2018
SOHAL 1265784672 1649526294 03/28/2016
LANCEN 1063615219 1972781375 05/31/2021
OLSHIN 1508932237 1073689600 02/04/2013
GAVRIIL 1992834212 1992834212 05/01/2017
THORAT 1063573491 1427171966 05/01/2017
NAWLO 1386827095 1386827095 03/06/2017
STRAUCH 1467673244 1669660031 08/19/2013
SUSSMAN MIROCZNIK 1447305065 1720177066 07/13/2015
DAVIDSON 1659362937 1659362937 06/09/2014
KAROUNOS 1720202708 1619969458 01/21/2019
SALAMON 1043469885 1720177066 05/07/2012
Page 447 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11219 KINGS
2017 2 11753 NASSAU
2014 1 11229 KINGS
2020 5 13901 BROOME
2011 1 11545 NASSAU
2013 1 10460 BRONX
2012 1 11237 KINGS
2012 1 10451 BRONX
2013 1 10462 BRONX
2014 3 11249 KINGS
2013 1 11216 KINGS
2017 3 12501 DUTCHESS
2011 1 11249 KINGS
Page 448 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
FIGDOR NASSI (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
OCEAN AVE FAMILY DENTAL PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
GAVRIIL ELEFTHERIOS S (40.85589, -
73.868294)
675 2032 52
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
NAWLO MOISE JOSEPH DDS (40.85589, -
73.868294)
675 2032 52
810 DENTAL ASSOCIATES PC (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
DAVIDSON MICHAEL G DMD (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 449 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 27
346
93
37 176
37 27
37 176
37 176
37 27
37 27
63
37 27
Page 450 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MICHAEL
DENTIST ERIDANIA
DENTIST CHETAN
DENTIST GILBERT
DENTIST KARLA
DENTIST SOCORRO
DENTIST RASHED
DENTIST GENARO
DENTIST NARINDER
DENTIST EUGENE
DENTIST MARIA
DENTIST STEPHEN
DENTIST CHRISTINE
Page 451 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILSON 1972654192 1972781375 12/23/2019
BAEZ 1851591184 1851591184 01/12/2015
SAWHNEY 1396062212 1295997724 04/24/2017
SPECTOR 1992708374 1790971869 05/28/2018
ISAACS 1437123015 1437123015 10/31/2015
BENEDICTO 1699773036 1447298070 04/16/2018
RASHED 1902897408 1902897408 11/26/2018
TAVERAS 1932396645 1932396645 12/17/2012
SINGH 1851513618 1295997724 03/24/2014
KENIGSBERG 1073760468 1073760468 09/24/2012
DILLE 1902986797 1609946821 08/27/2018
SCOTTO 1447564224 1366589038 07/29/2013
HENG 1952386120 1023024882 09/07/2015
Page 452 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 3 13901 BROOME
2014 1 10463 BRONX
2016 1 11753 NASSAU
2016 2 13856 DELAWARE
2012 1 10458 BRONX
2016 1 11237 KINGS
2017 5 11220 KINGS
2012 1 10453 BRONX
2013 1 11753 NASSAU
2012 1 11210 KINGS
2016 3 13601 JEFFERSON
2012 1 11215 KINGS
2014 1 10461 BRONX
Page 453 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
BAEZ QUEZADA ERIDANIA M DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
ISAACS KARLA DDS (40.85589, -
73.868294)
675 2032 52
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
TAVERAS GENARO J DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
KENIGSBERG EUGENE DDS (40.65642, -
73.950691)
809 2090 31
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
NORTH CENTRAL BRONX (40.85589, - 675 2032 52
Page 454 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
37 176
93
410
37 176
37 27
37 27
37 176
93
37 27
705
37 27
37 176
Page 455 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MILA
DENTIST KARANJIT
DENTIST MANDY
DENTIST TITUS
DENTIST RAJ
DENTIST FILZA
DENTIST LARA
DENTIST JOSE
DENTIST VERONICA
DENTIST NIRMALA
DENTIST MITA
DENTIST STEPHEN
DENTIST MARC
Page 456 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SORKIN 1295898955 1295898955 03/11/2013
KAMBOJ 1861878498 1932453172 09/11/2017
BAUER 1811977168 1427098227 10/01/2012
HOWELL 1518012442 1518012442 05/18/2015
MOHAN 1568558997 1568558997 01/05/2015
JAMIL 1154704922 1982683249 01/11/2021
MERKER-EISEN 1508060732 1538111653 03/28/2016
SANTANA 1942344411 1942344411 12/09/2019
MARMARA 1609070358 1295997724 08/05/2019
TASGAONKAR 1093987158 1982787537 04/24/2017
PATEL 1881787158 1578612412 01/21/2019
BRENNER 1255392106 1548229958 09/09/2019
BROWN 1396741328 1417027558 11/25/2013
Page 457 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11223 KINGS
2016 1 11577 NASSAU
2012 1 11218 KINGS
2015 1 14624 MONROE
2014 1 11238 KINGS
2016 1 11215 KINGS
2014 1 11220 KINGS
2018 4 11209 KINGS
2018 4 11753 NASSAU
2016 1 14642 MONROE
2017 2 11218 KINGS
2014 1 11201 KINGS
2013 1 10457 BRONX
Page 458 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
SORKIN MILA DDS (40.65642, -
73.950691)
809 2090 31
P & R EXECUTIVE DENTAL MANAGEMENT (40.715749, -
73.601185)
1455 2094 6
L'REFAUH MED & REHAB CTR.,INC (40.65642, -
73.950691)
809 2090 31
TITUS A HOWELL DDS PC (43.161748, -
77.620143)
1666 2093 56
MOHAN RAJ DDS (40.65642, -
73.950691)
809 2090 31
IRA GRONOWITZ D D S PC (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
SANTANA JOSE E DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, - 675 2032 52
Page 459 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 27
50 844
37 27
37 27
37 27
37 27
93
50 844
37 27
37 27
37 176
Page 460 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HENRY
DENTIST KENNY
DENTIST LORIS
DENTIST VERA
DENTIST MERIK
DENTIST HEMANTIKA
DENTIST CHARLES
DENTIST RAFYA
DENTIST HOUMAN
DENTIST OLIVER
DENTIST OLGA
DENTIST JESSICA
DENTIST HECTOR
Page 461 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NOGID 1447223649 1447223649 12/22/2014
HO 1083754246 1083754246 09/21/2017
ABRAHAM 1972714699 1295997724 12/25/2017
HEIFETZ-KHRAKOVSKY 1740377233 1083767222 03/14/2016
NIYAZOV 1881847374 1558449025 11/02/2015
SHAH 1841278694 1841278694 05/01/2017
BEARD 1558338087 1033178561 09/16/2019
SANDHU 1326141177 1326141177 09/24/2012
LANGROODI 1083884423 1083884423 08/24/2015
SULLIVAN 1104924422 1437231693 11/06/2017
CELLERI-PINCUS 1144232877 1396059499 03/09/2020
DESOUZA 1043530496 1295997724 07/07/2014
MERCEDES 1184613564 1184613564 08/13/2018
Page 462 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11211 KINGS
2013 1 11220 KINGS
2016 2 11753 NASSAU
2015 1 11224 KINGS
2015 1 11226 KINGS
2012 1 10451 BRONX
2018 3 11216 KINGS
2012 1 11590 NASSAU
2012 1 11213 KINGS
2016 1 10456 BRONX
2019 3 11575 NASSAU
2014 1 11753 NASSAU
2013 1 10455 BRONX
Page 463 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
NOGID HENRY DDS (40.65642, -
73.950691)
809 2090 31
HO KENNY H DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRIGHT SMILE DENTAL PC (40.65642, -
73.950691)
809 2090 31
COMMUNITY DENTAL CARE PC (40.65642, -
73.950691)
809 2090 31
SHAH HEMANTIKA DDS (40.85589, -
73.868294)
675 2032 52
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
SANDHU RAFYA DDS (40.715749, -
73.601185)
1455 2094 6
LANGROODI HOUMAN DDS (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MERCEDES HECTOR LUIS DDS (40.85589, - 675 2032 52
Page 464 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
93
37 27
37 27
37 176
37 27
93
37 27
37 176
93
93
37 176
Page 465 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST VIRENDRA
DENTIST MICHAEL
DENTIST ROBERT
DENTIST GILA
DENTIST JUAN
DENTIST NAVJOT
DENTIST SALEH
DENTIST KYUNGSUK
DENTIST VASANT
DENTIST MARK
DENTIST SIDDIQUR
DENTIST TAREK
DENTIST PATRICIA
Page 466 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAH 1801869110 1801869110 10/07/2013
DONATO 1558334136 1366589038 07/29/2013
SEMINARA 1689752560 1366589038 07/29/2013
BEER 1700198769 1295997724 08/05/2019
COLLADO 1952390015 1952390015 03/06/2017
ALAG 1578971446 1255360517 03/09/2020
ELAHWAL 1184633190 1184633190 04/26/2018
YOO 1992078737 1225464910 10/16/2017
GADKAR 1023129400 1023129400 08/18/2014
APFEL 1437204054 1720177066 07/13/2015
RAHMAN 1033251699 1033251699 11/22/2016
KORBAN 1598095267 1073955878 03/20/2017
NEIL 1003223231 1073535027 07/03/2017
Page 467 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11207 KINGS
2012 1 11215 KINGS
2012 1 11215 KINGS
2018 4 11753 NASSAU
2013 1 10040 NEW YORK
2019 2 14621 MONROE
2013 1 11209 KINGS
2016 1 12601 DUTCHESS
2014 1 11221 KINGS
2014 3 11249 KINGS
2013 2 11211 KINGS
2016 1 10457 BRONX
2015 1 10038 NEW YORK
Page 468 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
SHAH VIRENDRA N DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COLLADO JUAN P (40.726966, -
74.005966)
737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
ELAHWAL SALEH A (40.65642, -
73.950691)
809 2090 31
ROYAL SMILE DENTISTRY PC (41.686216, -
73.840468)
1022 2040 30
GADKAR VASANT L DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
RAHMAN SIDDIQUR DDS (40.65642, -
73.950691)
809 2090 31
TOOTHFAIRYNYC ORAL & MAXILLOFACIAL (40.85589, -
73.868294)
675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, - 737 2095 50
Page 469 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
93
37 108
50 844
37 27
63
37 27
37 27
37 27
37 176
37 108
Page 470 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ABRAHAM
DENTIST SUE
DENTIST ALBERT
DENTIST VICTORIA
DENTIST MICHAEL
DENTIST ADENIKE
DENTIST RICHARD
DENTIST JESSE
DENTIST SUSIE
DENTIST AHMED
DENTIST SONIA
DENTIST JEFFREY
DENTIST RENEE
Page 471 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ESSES 1730168758 1730168758 06/11/2018
BARRON 1780691345 1982787537 10/09/2017
MATUZA 1619171386 1295997724 12/31/2018
LAOR 1790818722 1851506505 04/07/2014
WININGER 1841210598 1295997724 06/16/2014
OGUNBEKUN 1134327406 1083716088 09/10/2012
SMITH 1962558775 1578612412 08/06/2018
BARRETT 1013359488 1184694291 05/02/2016
CHEN-KOLLALI 1043574379 1366589038 05/28/2018
NOUR-EL-DEEN 1801949078 1295997724 02/24/2020
KOHLI 1295808988 1538111653 03/11/2013
WEINTRAUB 1649394438 1720177066 07/02/2012
PELLEGRINO 1023240173 1255360517 12/23/2019
Page 472 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11229 KINGS
2016 1 14620 MONROE
2017 3 11753 NASSAU
2013 1 10457 BRONX
2013 1 11753 NASSAU
2011 1 14605 MONROE
2016 2 11212 KINGS
2015 1 10453 BRONX
2016 1 11215 KINGS
2019 5 11753 NASSAU
2012 1 11220 KINGS
2011 1 11249 KINGS
2018 4 14420 MONROE
Page 473 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
ESSES ABRAHAM DDS (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BARTLEY R LABINER DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, - 1666 2093 56
Page 474 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
93
37 176
93
50 844
37 27
37 176
37 27
93
37 27
37 27
50 844
Page 475 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MURRAY
DENTIST SEAN
DENTIST JAMIE
DENTIST GARY
DENTIST PHIE BEE
DENTIST EVAN
DENTIST ANGELE
DENTIST GADI
DENTIST LYUBOV
DENTIST MAIRAJ
DENTIST JAMES
DENTIST JULIE
DENTIST DANNY
Page 476 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FRYD 1124231212 1124231212 10/19/2018
MCLAREN 1255449765 1982787537 04/03/2017
ROSEN 1902887391 1902887391 12/16/2013
GENTILE 1851384788 1851384788 05/01/2017
DAI 1598738130 1184694291 02/26/2018
HERSHKOWITZ 1740489889 1740489889 06/23/2014
DIMITREY 1538378559 1295997724 08/05/2019
DEKEL 1699824417 1801199815 10/14/2013
FEYGIN 1063420131 1063420131 10/12/2018
AHMED 1114063930 1114063930 09/29/2014
SCONZO 1356335673 1366589038 06/18/2018
CERNIGLIARO 1174621734 1538111653 06/02/2014
ALCANTARA 1346331451 1346331451 12/05/2016
Page 477 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11215 KINGS
2016 1 14620 MONROE
2013 1 11203 KINGS
2012 1 11223 KINGS
2016 2 10453 BRONX
2013 1 12590 DUTCHESS
2018 4 11753 NASSAU
2013 1 10462 BRONX
2014 1 10461 BRONX
2014 1 10462 BRONX
2016 2 11215 KINGS
2013 1 11220 KINGS
2014 2 10451 BRONX
Page 478 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
FRYD MURRAY DDS (40.65642, -
73.950691)
809 2090 31
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
ROSEN JAMIE SCOTT DDS (40.65642, -
73.950691)
809 2090 31
GENTILE GARY L DDS (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
HERSHKOWITZ EVAN SCOTT DDS (41.686216, -
73.840468)
1022 2040 30
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CHRISTOPHER DILLON DDS PLLC (40.85589, -
73.868294)
675 2032 52
FEYGIN LYUBOV DDS (40.85589, -
73.868294)
675 2032 52
AHMED MAIRAJ KARIM DDS (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ALCANTARA DANNY RAMONA (40.85589, - 675 2032 52
Page 479 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
50 844
37 27
37 27
37 176
63
93
37 176
37 176
37 176
37 27
37 27
37 176
Page 480 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALBERT
DENTIST EVELYN
DENTIST GABRIEL
DENTIST VERONICA
DENTIST BRANDON
DENTIST JEROME
DENTIST WING
DENTIST NATALIE
DENTIST MERCEDES
DENTIST APARNA
DENTIST CHARLES
DENTIST PAUL
DENTIST KEVIN
Page 481 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELIAV 1629256276 1629256276 10/26/2017
TEJEDA 1811994924 1417027558 05/13/2013
ISIOYE 1942281829 1942281829 05/20/2019
MARMARA 1609070358 1295997724 12/31/2018
KATZ 1285894592 1295997724 02/20/2017
BARTHOLOMEW 1376573642 1457395766 08/20/2012
WONG 1790983179 1508038514 09/03/2019
BARCLAY 1124112131 1982674917 06/03/2013
AGUILA 1114971017 1114971017 09/29/2014
THORAT 1063573491 1427171966 10/21/2013
CHANG 1114231008 1114231008 04/26/2018
MARKEL 1396976486 1295997724 02/05/2018
CLAUSER 1790794808 1790794808 05/11/2015
Page 482 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11222 KINGS
2012 1 10457 BRONX
2014 2 10463 BRONX
2017 3 11753 NASSAU
2016 1 11753 NASSAU
2011 1 14526 MONROE
2014 1 11220 KINGS
2012 1 12010 MONTGOMERY
2014 1 11553 NASSAU
2012 1 11237 KINGS
2013 1 11237 KINGS
2016 2 11753 NASSAU
2014 2 14221 ERIE
Page 483 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
ELIAV ALBERT G (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
ISIOYE GABRIEL DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
AGUILA MERCEDES DDS (40.715749, -
73.601185)
1455 2094 6
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
CHANG CHARLES (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CLAUSER KEVIN GREGORY DDS (42.888143, - 62 2041 63
Page 484 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
37 176
93
93
50 844
37 27
699
93
37 27
37 27
93
646
Page 485 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DANIEL
DENTIST MAYA
DENTIST SHEREE
DENTIST DANIEL
DENTIST REGINALD
DENTIST HUNG
DENTIST MARINA
DENTIST DAVID
DENTIST FREDERICK
DENTIST VANESSA
DENTIST JOSEPH
DENTIST VIRAJ
DENTIST DAVID
Page 486 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JAMMAL 1720305808 1790787919 05/19/2014
MOUAZEB 1487613725 1487613725 04/22/2013
MORGAN 1770705634 1437231693 08/20/2018
NYER 1235445628 1023024882 07/31/2017
BORGELLA 1679557045 1679557045 08/28/2017
NGUYEN 1831321751 1972781375 10/22/2012
ZILBERT 1831188234 1831188234 09/23/2013
CHO 1609180181 1609180181 06/01/2018
SANDS 1720030455 1720030455 08/24/2015
CALDERON 1023007226 1417924762 10/16/2017
OPPENHEIMER 1750475505 1417027558 01/06/2014
GADKAR 1659548410 1659548410 09/28/2018
WALTUCH 1740327741 1740327741 08/12/2013
Page 487 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 14214 ERIE
2012 1 11223 KINGS
2016 4 10457 BRONX
2015 1 10461 BRONX
2016 1 11552 NASSAU
2012 1 13901 BROOME
2013 1 11210 KINGS
2013 1 10460 BRONX
2012 1 11216 KINGS
2016 1 12207 ALBANY
2013 1 10457 BRONX
2014 1 11575 NASSAU
2013 1 11219 KINGS
Page 488 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
78.795544)
COMM HLTH CTR BUFFALO INC (42.888143, -
78.795544)
62 2041 63
MOUAZEB MAYA K DDS (40.65642, -
73.950691)
809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
NORTH CENTRAL BRONX (40.85589, -
73.868294)
675 2032 52
BORGELLA REGINALD DDS (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ZILBERT MARINA DDS (40.65642, -
73.950691)
809 2090 31
CHO DAVID TYLER (40.85589, -
73.868294)
675 2032 52
SANDS FREDERICK B DDS (40.65642, -
73.950691)
809 2090 31
WHITNEY M YOUNG HEALTH CENTER (42.678066, -
73.814233)
40 2030 34
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
GADKAR VIRAJ VASANT DMD (40.715749, -
73.601185)
1455 2094 6
WALTUCH DAVID M DDS (40.65642, - 809 2090 31
Page 489 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 27
37 176
37 176
93
346
37 27
37 176
37 27
1 573
37 176
93
37 27
Page 490 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PETER
DENTIST ALLAN
DENTIST ALEJANDRO
DENTIST GRACE
DENTIST HECTOR
DENTIST KOMAL
DENTIST IGOR
DENTIST ROBIN
DENTIST JUDITH
DENTIST IRA
DENTIST REGINA
DENTIST THIERRY
DENTIST HUGH
Page 491 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MO 1558339705 1558339705 03/03/2014
ROFFE 1518009208 1518009208 06/16/2014
WILLIAMS 1073502217 1073502217 10/01/2012
HAN 1386850303 1639247976 11/03/2017
BERNABE 1104815406 1104815406 11/22/2016
SHAH 1902117203 1588870059 06/17/2013
NELIOUBINE 1629285655 1629285655 12/08/2017
CRAIG 1477692374 1972781375 09/14/2020
LAMPASSO 1326230574 1326230574 04/15/2013
GRONOWITZ 1679735062 1679735062 08/18/2014
SAVCHUK 1023008919 1023008919 03/07/2016
ABITBOL 1407919400 1295997724 03/24/2014
POLLACK 1447305073 1720177066 09/11/2017
Page 492 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11220 KINGS
2013 3 11520 NASSAU
2012 1 10453 BRONX
2013 1 10463 BRONX
2012 1 10457 BRONX
2012 1 10457 BRONX
2013 1 11225 KINGS
2019 4 13901 BROOME
2012 1 14051 ERIE
2014 1 11214 KINGS
2015 1 11226 KINGS
2013 1 11753 NASSAU
2015 4 11249 KINGS
Page 493 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
MO PETER PI TAK DDS (40.65642, -
73.950691)
809 2090 31
ROFFE ALLAN DDS (40.715749, -
73.601185)
1455 2094 6
WILLIAMS ALEJANDRO DDS (40.85589, -
73.868294)
675 2032 52
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
BERNABE HECTOR BOLIVAR DDS (40.85589, -
73.868294)
675 2032 52
GOLD ANDREW F DDS (40.85589, -
73.868294)
675 2032 52
NELUBIN IGOR DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
LAMPASSO JUDITH DORISCA (42.888143, -
78.795544)
62 2041 63
GRONOWITZ IRA ELLIOT DDS (40.65642, -
73.950691)
809 2090 31
SAVCHUK REGINA DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 494 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 176
37 176
37 176
37 176
37 27
346
646
37 27
37 27
93
37 27
Page 495 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALLAN
DENTIST FRANK
DENTIST IOANA
DENTIST MAHMOUD
DENTIST FLORALBA
DENTIST STEVE
DENTIST GEORGE
DENTIST JUAN
DENTIST RASHED
DENTIST JULIA
DENTIST BORIS
DENTIST ANGELA
DENTIST ROBERT
Page 496 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROFFE 1518009208 1518009208 05/13/2013
KIRKLAND 1689701971 1689701971 04/04/2016
SARBESCU 1609088384 1972781375 05/31/2021
ALI 1245251925 1972781375 02/18/2019
GARCIA 1205996345 1205996345 09/02/2019
BERKOWITZ 1376098707 1598707812 07/31/2017
NORBERG 1568659142 1790971869 11/23/2015
PORTELA 1952599649 1598953655 04/29/2013
RASHED 1902897408 1902897408 07/22/2019
GOLDBERG 1396754602 1083623409 12/07/2015
KAYLAKOV 1518342856 1295997724 03/27/2017
ZAVULUNOVA 1508056136 1508056136 11/02/2018
BOGAN 1467576835 1467576835 11/09/2015
Page 497 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 11520 NASSAU
2015 2 11225 KINGS
2020 5 13901 BROOME
2017 2 13901 BROOME
2018 2 10451 BRONX
2016 1 14420 MONROE
2014 2 13856 DELAWARE
2012 1 11237 KINGS
2018 6 11220 KINGS
2014 1 11210 KINGS
2016 1 11753 NASSAU
2014 1 11220 KINGS
2015 1 10463 BRONX
Page 498 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ROFFE ALLAN DDS (40.715749, -
73.601185)
1455 2094 6
KIRKLAND FRANK DUANE DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
GARCIA FLORALBA DDS (40.85589, -
73.868294)
675 2032 52
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
UNIVERSAL DENTAL ARTS PC (40.65642, -
73.950691)
809 2090 31
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
BE WELL PRIMARY HLTH CARE CTR (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ZAVULUNOVA ANGELA DDS (40.65642, -
73.950691)
809 2090 31
BOGAN ROBERT DDS (40.85589, - 675 2032 52
Page 499 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
346
346
37 176
50 844
410
37 27
37 27
37 27
93
37 27
37 176
Page 500 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DENNY
DENTIST YAKOV
DENTIST LEI
DENTIST ANNELI
DENTIST MARTHA
DENTIST SUR
DENTIST LEWIS
DENTIST SIMON
DENTIST CHUNG HIN
DENTIST NICOLE
DENTIST NICOLE
DENTIST RONY
DENTIST VINEET
Page 501 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHERN-KELK 1679636625 1417027558 01/06/2014
PODLIPSKY 1477543437 1477543437 12/07/2015
HUANG 1356601983 1295997724 03/24/2014
STANTON 1316161011 1497926141 10/21/2013
DUVAL 1730331190 1295729408 06/25/2012
LEE 1548463425 1295997724 03/24/2014
O'SHEA 1275799058 1073689600 04/27/2015
WONG 1376532473 1376532473 10/29/2012
LAU 1184056327 1508038514 11/02/2015
MOONEY 1366535544 1255360517 12/05/2016
MOONEY 1366535544 1255360517 10/07/2019
MASHIHI 1437398104 1437398104 03/17/2017
MORE 1336239771 1336239771 08/19/2013
Page 502 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10457 BRONX
2014 1 11229 KINGS
2013 1 11753 NASSAU
2013 1 12526 COLUMBIA
2011 1 10453 BRONX
2013 1 11753 NASSAU
2014 3 11545 NASSAU
2011 1 11220 KINGS
2014 1 11220 KINGS
2015 1 14534 MONROE
2018 3 14534 MONROE
2013 1 11550 NASSAU
2013 1 11213 KINGS
Page 503 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
PODLIPSKY JACOB DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
TRU-DENTAL PC (42.276913, -
73.682168)
977 619 33
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
WONG SIMON WAI DDS (40.65642, -
73.950691)
809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
MASHIHI RONY DDS (40.715749, -
73.601185)
1455 2094 6
MORE VINEET A DDS (40.65642, - 809 2090 31
Page 504 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
93
388
37 176
93
93
37 27
37 27
50 844
50 844
93
37 27
Page 505 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ELLIOT
DENTIST RASHMIKANT
DENTIST DOMINIQUE
DENTIST PRAVEEN
DENTIST MARY
DENTIST KARSTEN
DENTIST DANIEL
DENTIST ELAINE
DENTIST VINCENT
DENTIST AHMED
DENTIST INDU
DENTIST ELLIOT
DENTIST MELISSA
Page 506 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRAHMS 1811155963 1790971869 02/25/2013
MEHTA 1811042765 1811042765 09/29/2014
JUSTE 1356313191 1356313191 08/12/2013
MEHTA 1497730329 1497730329 07/28/2014
HAMILTON 1134489941 1598707812 11/23/2015
CRAVEN 1033231394 1033231394 03/02/2015
KANG 1699756866 1972781375 10/22/2012
GREENBERG 1538165808 1437231693 11/06/2017
D'APPOLONIA 1922052455 1922052455 06/16/2014
NOUR-EL-DEEN 1801949078 1295997724 12/25/2017
ANILESH 1639239726 1639239726 06/02/2014
SABBAGH 1255314639 1639247976 08/14/2017
COPELLA 1316045297 1912225236 03/12/2018
Page 507 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 13856 DELAWARE
2014 1 11207 KINGS
2013 1 11203 KINGS
2014 1 11209 KINGS
2014 1 14420 MONROE
2014 1 11229 KINGS
2012 1 13901 BROOME
2016 1 10456 BRONX
2014 1 10451 BRONX
2016 2 11753 NASSAU
2013 1 10451 BRONX
2012 1 10463 BRONX
2016 5 14604 MONROE
Page 508 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
WALTON DENTAL PLLC (42.242972, -
74.997944)
395 2039 32
MEHTA RASHMIKANT N DDS (40.65642, -
73.950691)
809 2090 31
JUSTE DOMINIQUE F DDS (40.65642, -
73.950691)
809 2090 31
MEHTA PRAVEEN RADHEYLAL DDS (40.65642, -
73.950691)
809 2090 31
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
CRAVEN KARSTEN (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
DAPPOLONIA VINCENT R DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ANILESH INDU DDS (40.85589, -
73.868294)
675 2032 52
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
RUSHVILLE HEALTH CENTER INC (43.161748, - 1666 2093 56
Page 509 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
410
37 27
37 27
37 27
50 844
37 27
346
37 176
37 176
93
37 176
37 176
50 844
Page 510 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALEXANDER
DENTIST RONALD
DENTIST MARIA
DENTIST MICHAEL
DENTIST ADEWALE
DENTIST RENEE
DENTIST GEOFFREY
DENTIST DENNY
DENTIST ROGER
DENTIST SELENE
DENTIST KIMBERLY
DENTIST RICHARD
DENTIST HOWARD
Page 511 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KANEVSKY 1346258365 1346258365 08/12/2013
SILIATO 1093776858 1093776858 09/02/2013
FIGUEROA 1720270424 1417027558 11/25/2013
KOZLOWSKI 1336259324 1457395766 09/24/2012
ADEPETU 1326127713 1326127713 08/31/2015
PELLEGRINO 1023240173 1598707812 03/18/2013
HALBERSTADT 1083719223 1083719223 07/06/2015
CHERN-KELK 1679636625 1417027558 11/02/2015
GRANNUM 1003993502 1972781375 12/23/2019
WUN 1578661740 1437231693 05/30/2016
SOLEIMANI 1174842991 1720177066 02/18/2013
SMITH 1962558775 1578612412 01/21/2019
KAUFMAN 1154381846 1154381846 07/07/2014
Page 512 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11235 KINGS
2013 1 11233 KINGS
2013 1 10457 BRONX
2012 1 14626 MONROE
2014 2 10470 BRONX
2012 1 14420 MONROE
2014 2 10467 BRONX
2014 2 10457 BRONX
2018 2 13901 BROOME
2015 1 10457 BRONX
2012 1 11249 KINGS
2017 3 11212 KINGS
2013 1 11207 KINGS
Page 513 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
77.620143)
ALMA DENTAL PC (40.65642, -
73.950691)
809 2090 31
SILIATO RONALD J DDS PC (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
ADEPETU ADEWALE DDS (40.85589, -
73.868294)
675 2032 52
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
HALBERSTADT GEOFFREY S DDS (40.85589, -
73.868294)
675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
KAUFMAN HOWARD DDS (40.65642, - 809 2090 31
Page 514 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
50 844
37 176
50 844
37 176
37 176
346
37 176
37 27
37 27
37 27
Page 515 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST DAVID
DENTIST MICHAEL
DENTIST ELHAM
DENTIST JOSHUA
DENTIST ZAKHAR
DENTIST JONATHAN
DENTIST KATHLEEN
DENTIST NAMTY
DENTIST WINARDO
DENTIST A NA
DENTIST PEGGY LAURA
DENTIST MALCOLM
Page 516 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NOVO 1386721108 1366589038 07/29/2013
THURBER 1689921710 1972781375 12/05/2016
WININGER 1841210598 1295997724 12/31/2018
SHADPOUR 1548519960 1962716050 08/21/2017
CANTER 1568509149 1568509149 11/12/2018
KREYMAN 1295871390 1295871390 12/16/2013
WALTNER 1417028531 1417028531 08/11/2021
BALTHASAR 1144315003 1881789014 04/25/2016
LEE 1154577815 1508038514 09/03/2019
LOMBOY 1063620425 1396059499 03/09/2020
PEREZ-ROBINSON 1710199765 1710199765 04/04/2016
BUDHU 1912072166 1538111653 03/04/2013
ZOLA 1083681597 1427063270 09/07/2015
Page 517 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11215 KINGS
2016 1 13901 BROOME
2017 3 11753 NASSAU
2015 2 11520 NASSAU
2017 5 11204 KINGS
2013 1 11229 KINGS
2015 1 11249 KINGS
2015 1 14207 ERIE
2014 1 11220 KINGS
2019 4 11575 NASSAU
2014 2 10472 BRONX
2012 1 11203 KINGS
2014 1 10457 BRONX
Page 518 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
CANTER JOSHUA JAY DDS (40.65642, -
73.950691)
809 2090 31
KREYMAN ZAKHAR (40.65642, -
73.950691)
809 2090 31
WALTNER JONATHAN DDS (40.65642, -
73.950691)
809 2090 31
NORTHWEST BUFFALO COMM H C (42.888143, -
78.795544)
62 2041 63
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
PEREZ-ROBINSON ANA M DDS (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.85589, - 675 2032 52
Page 519 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
346
93
93
37 27
37 27
37 27
646
37 27
93
37 176
37 27
37 176
Page 520 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARIEL
DENTIST RICARDO
DENTIST AKANKSHA
DENTIST LEWIS
DENTIST KIMBERLY
DENTIST MARC
DENTIST EDWARD
DENTIST NEDJAT
DENTIST ADELA
DENTIST MERCEDES
DENTIST HUNG
DENTIST ROBERT
DENTIST SHEREE
Page 521 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BALES-KOGAN 1366639007 1437255155 05/23/2016
VELOZ 1427161116 1427161116 06/16/2014
GERA 1598921728 1477764496 08/26/2013
O'SHEA 1275799058 1073689600 08/06/2018
SOLEIMANI 1174842991 1720177066 07/13/2015
STRAUCH 1467673244 1669660031 10/25/2019
HUDDLESTON 1750567061 1750567061 05/14/2012
BARAVARIAN 1457552838 1295997724 01/01/2018
GUSET 1780991695 1255360517 09/04/2017
AGUILA 1114971017 1114971017 02/26/2019
NGUYEN 1831321751 1972781375 12/16/2019
CRABTREE 1053397307 1053397307 09/24/2012
MORGAN 1770705634 1477764496 09/02/2013
Page 522 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10457 BRONX
2013 1 10455 BRONX
2013 2 10010 NEW YORK
2016 5 11545 NASSAU
2014 2 11249 KINGS
2013 1 10462 BRONX
2011 1 14616 MONROE
2016 2 11753 NASSAU
2016 1 14621 MONROE
2014 1 11553 NASSAU
2018 3 13901 BROOME
2012 1 14209 ERIE
2013 2 10010 NEW YORK
Page 523 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
UNION COMM HEALTH CTR INC (40.85589, -
73.868294)
675 2032 52
VELOZ RICARDO J DDS (40.85589, -
73.868294)
675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
810 DENTAL ASSOCIATES PC (40.85589, -
73.868294)
675 2032 52
HUDDLESTON EDWARD III DDS (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
AGUILA MERCEDES DDS (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CRABTREE ROBERT WADE III DDS (42.888143, -
78.795544)
62 2041 63
COMMUNITY HEALTHCARE NETWORK (40.726966, - 737 2095 50
Page 524 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 108
93
37 27
37 176
50 844
93
50 844
93
346
646
37 108
Page 525 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NEAL
DENTIST BORIS
DENTIST ELLIOT
DENTIST ALEKSANDR
DENTIST NELFA
DENTIST RASHEL
DENTIST SYLWIA
DENTIST KENNETH
DENTIST PRABODH
DENTIST ABRAHAM
DENTIST YERANEN
DENTIST JAMIE
DENTIST ALEKSANDR
Page 526 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NISSEN 1376608976 1376608976 12/16/2013
KATAYEV 1144356247 1184896607 06/17/2019
LORBER 1649423153 1649423153 05/12/2014
IZRAILOV 1528123635 1528123635 11/02/2018
CESPEDES 1336120559 1336120559 05/18/2015
RAHMANI 1124163076 1124163076 04/23/2018
ROSTKOWSKI 1063767267 1275592693 12/07/2015
COOPERMAN 1427361872 1952366973 05/11/2017
LATHIGARA 1629288568 1629288568 03/29/2018
ESSES 1730168758 1730168758 12/16/2013
SHABTAI 1144328154 1295997724 02/24/2020
CHARLAND 1063700599 1982674917 03/16/2015
ONATSKIY 1669434015 1669434015 09/08/2014
Page 527 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11210 KINGS
2014 1 10454 BRONX
2013 1 11205 KINGS
2014 1 11229 KINGS
2014 2 10034 NEW YORK
2015 3 11552 NASSAU
2014 1 11030 NASSAU
2013 1 10455 BRONX
2013 1 11237 KINGS
2013 1 11229 KINGS
2019 5 11753 NASSAU
2014 1 12010 MONTGOMERY
2014 1 11204 KINGS
Page 528 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NISSEN NEAL B DDS (40.65642, -
73.950691)
809 2090 31
WILLIS DENTAL CARE PLLC (40.85589, -
73.868294)
675 2032 52
LORBER ELLIOT MARK DDS (40.65642, -
73.950691)
809 2090 31
IZRAILOV ALEKSANDR DDS (40.65642, -
73.950691)
809 2090 31
CESPEDES NELFA (40.726966, -
74.005966)
737 2095 50
MONHIAN RASHEL (40.715749, -
73.601185)
1455 2094 6
DENTAL SPECIALTY ASSOC PC (40.715749, -
73.601185)
1455 2094 6
MODERN ORTHODONTICS PC (40.85589, -
73.868294)
675 2032 52
LATHIGARA PRABODH M DDS (40.65642, -
73.950691)
809 2090 31
ESSES ABRAHAM DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
ONATSKIY ALEKSANDR G DDS (40.65642, - 809 2090 31
Page 529 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
37 27
37 27
37 108
93
93
37 176
37 27
37 27
93
699
37 27
Page 530 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROGER
DENTIST IOANA
DENTIST ELHAM
DENTIST WILLIAM
DENTIST ROBERTO
DENTIST TEJAL
DENTIST CURTIS
DENTIST LAURO
DENTIST VERONICA
DENTIST EDWARD
DENTIST CHETAN
DENTIST JUDD
DENTIST LAURANCE
Page 531 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GRANNUM 1003993502 1972781375 05/31/2021
SARBESCU 1609088384 1972781375 02/18/2019
SHADPOUR 1548519960 1396059499 08/02/2021
STERN 1184761769 1184761769 08/19/2013
PARRA 1790985505 1972781375 09/14/2020
SHASTRI 1215118591 1982787537 04/24/2017
DAVIS 1801887542 1801887542 09/15/2014
MEDRANO-SALDANA 1972573004 1972573004 08/27/2018
DIAZ 1205123163 1205123163 03/09/2015
CHALOUH 1780866517 1780866517 07/01/2013
SAWHNEY 1396062212 1295997724 08/05/2019
LESSER 1619022498 1619022498 05/11/2015
JERROLD 1043641772 1538111653 02/16/2015
Page 532 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 4 13901 BROOME
2017 2 13901 BROOME
2021 6 11575 NASSAU
2013 1 11204 KINGS
2019 4 13901 BROOME
2016 1 14620 MONROE
2014 1 11203 KINGS
2016 3 11220 KINGS
2014 1 10469 BRONX
2012 1 10451 BRONX
2018 3 11753 NASSAU
2014 2 11557 NASSAU
2014 1 11220 KINGS
Page 533 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
STERN WILLIAM DDS (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
TILDEN FAMILY DENTAL PC (40.65642, -
73.950691)
809 2090 31
MEDRANO-SALDANA LAURO F DDS (40.65642, -
73.950691)
809 2090 31
DIAZ VERONICA (40.85589, -
73.868294)
675 2032 52
CHALOUH EDWARD DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LESSER JUDD DDS (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 534 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
346
346
93
37 27
346
50 844
37 27
37 27
37 176
37 176
93
93
37 27
Page 535 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AKIHIKO
DENTIST LAWRENCE
DENTIST RICHARD
DENTIST NEIL
DENTIST GENEVIEVE
DENTIST OLGA
DENTIST ERIC
DENTIST DANNY
DENTIST YARITZA
DENTIST LAURENCE
DENTIST STEVEN
DENTIST RAJESHWERRAO
DENTIST DELFINA
Page 536 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OSADA 1942646302 1295729408 06/12/2017
WEISS 1093980906 1093980906 10/12/2018
GOCHMAN 1346246733 1417027558 01/20/2014
GORIN 1962502344 1962502344 10/20/2014
ICART-BANDALI 1780760249 1356406136 08/17/2015
CELLERI-PINCUS 1144232877 1962716050 12/07/2015
ROSENSTOCK 1699742353 1144403734 09/22/2014
ALCANTARA 1346331451 1346331451 05/01/2017
LUGO-ANDUJAR 1184864209 1184864209 03/09/2015
HYACINTHE 1346438561 1538111653 03/25/2013
CALLAGHAN 1184668162 1619969458 07/02/2012
KOKKIRALA 1790867646 1790867646 06/15/2015
COLON 1043293863 1043293863 02/10/2014
Page 537 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10453 BRONX
2014 1 11234 KINGS
2013 1 10457 BRONX
2014 3 11218 KINGS
2014 1 11205 KINGS
2015 1 11575 NASSAU
2013 1 10462 BRONX
2012 1 10451 BRONX
2014 1 11224 KINGS
2012 1 11220 KINGS
2011 1 12508 DUTCHESS
2014 1 10452 BRONX
2013 1 10034 NEW YORK
Page 538 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
INSTITUTE FOR FAMILY HLTH (40.85589, -
73.868294)
675 2032 52
WEISS LAWRENCE J DDS (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
GORIN NEIL DDS PC (40.65642, -
73.950691)
809 2090 31
CUMBERLAND D & T CTR (40.65642, -
73.950691)
809 2090 31
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
CIRCLE FAMILY DENTAL PC (40.85589, -
73.868294)
675 2032 52
ALCANTARA DANNY RAMONA (40.85589, -
73.868294)
675 2032 52
LUGO-ANDUJAR YARITZA (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
KOKKIRALA RAJESHWERRAO B DDS (40.85589, -
73.868294)
675 2032 52
COLON-LIZ DELFINA E DDS (40.726966, - 737 2095 50
Page 539 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
37 176
37 27
37 27
93
37 176
37 176
37 27
37 27
63
37 176
37 108
Page 540 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LEWIS
DENTIST SHAKUNTALA
DENTIST SERGE
DENTIST ALEXANDER
DENTIST ALAN
DENTIST RASHED
DENTIST MELISSA
DENTIST CARLOS
DENTIST MADELON
DENTIST JAY
DENTIST UNTRAY
DENTIST EDMUND
DENTIST DAMARIS
Page 541 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
O'SHEA 1275799058 1073689600 08/19/2013
MARKALE 1619942208 1619942208 11/22/2016
KUPETZ 1437250289 1437250289 12/16/2013
KIRZHNER 1770661696 1770661696 10/25/2019
MASKELL 1144211178 1073503215 05/01/2017
RASHED 1902897408 1902897408 03/16/2015
COPELLA 1316045297 1912225236 08/21/2017
ALFONSO 1528111580 1528111580 05/01/2017
MURPHY 1376533125 1295997724 04/14/2014
VARGHESE 1740549518 1548229958 09/09/2019
BROWN 1841214087 1841214087 02/20/2012
THOMAS 1851451736 1851451736 10/08/2012
CORDERO 1053427377 1053427377 08/12/2013
Page 542 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 11545 NASSAU
2012 1 10452 BRONX
2013 1 11225 KINGS
2015 1 11236 KINGS
2013 1 11206 KINGS
2014 2 11220 KINGS
2015 4 14604 MONROE
2013 1 10034 NEW YORK
2013 1 11753 NASSAU
2014 1 11212 KINGS
2011 1 11238 KINGS
2012 1 14215 ERIE
2013 1 10468 BRONX
Page 543 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
MARKALE SHAKUNTALA J DDS (40.85589, -
73.868294)
675 2032 52
KUPETZ SERGE DDS (40.65642, -
73.950691)
809 2090 31
KIRZHNER ALEXANDER (40.65642, -
73.950691)
809 2090 31
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
RASHED RASHED SAYED DDS (40.65642, -
73.950691)
809 2090 31
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
ALFONSO CARLOS DDS (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
UNTRAY T BROWN DDS PLLC (40.65642, -
73.950691)
809 2090 31
THOMAS EDMUND AARON DDS (42.888143, -
78.795544)
62 2041 63
CORDERO DAMARIS A (40.85589, - 675 2032 52
Page 544 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
37 27
37 27
37 27
37 27
50 844
37 108
93
37 27
37 27
646
37 176
Page 545 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WINSTON
DENTIST JAMES
DENTIST AHMED
DENTIST IRVING
DENTIST EMMANUEL
DENTIST SAMUEL
DENTIST NATASHA
DENTIST VLADISLAV
DENTIST HOWARD
DENTIST ENDALE
DENTIST TZIRI
DENTIST VLADIMIR
DENTIST MICHAEL
Page 546 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BYFIELD 1588729842 1588729842 07/08/2016
SCONZO 1356335673 1366589038 07/29/2013
NOUR-EL-DEEN 1801949078 1295997724 05/03/2021
BRUCK 1720173818 1720173818 07/28/2014
PUDDICOMBE 1447252747 1134335466 12/31/2012
POLAN 1386051753 1295997724 03/09/2015
JEAN-CHARLES 1396030797 1396059499 02/01/2021
GERTS 1417023516 1417023516 05/01/2017
WEINER 1467458547 1417027558 08/26/2013
TEFERA 1417004102 1417004102 04/15/2013
SALAMON 1043469885 1720177066 08/06/2018
BLUSTIN 1053510677 1053510677 02/25/2013
WININGER 1841210598 1295997724 08/05/2019
Page 547 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10466 BRONX
2012 1 11215 KINGS
2020 6 11753 NASSAU
2014 1 11219 KINGS
2012 1 14607 MONROE
2014 1 11753 NASSAU
2020 5 11575 NASSAU
2013 1 11238 KINGS
2012 1 10457 BRONX
2012 1 11225 KINGS
2016 5 11249 KINGS
2012 1 11230 KINGS
2018 4 11753 NASSAU
Page 548 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
BYFIELD WINSTON EARL DMD PC (40.85589, -
73.868294)
675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRUCK IRVING DDS (40.65642, -
73.950691)
809 2090 31
GENTLE DENTAL CARE OF ROCHESTER
PC
(43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
GERTS VLADISLAV DDS (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
TEFERA ENDALE MULAT DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
BLUSTIN VLADIMIR G DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, - 1455 2094 6
Page 549 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
93
37 27
50 844
93
93
37 27
37 176
37 27
37 27
37 27
93
Page 550 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST OILIM
DENTIST RAJA
DENTIST MALKA
DENTIST SONIA
DENTIST SANFORD
DENTIST DARLENE
DENTIST SIMERJIT
DENTIST JESUS
DENTIST PETER
DENTIST ROBERT
DENTIST MARINA
DENTIST ANNE
DENTIST SHIRLEY
Page 551 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEUNG 1942263785 1184694291 07/16/2012
AGHABI 1851370621 1851370621 06/22/2015
CARMAZI 1558343608 1558343608 12/07/2015
GRAY 1750583290 1750583290 04/11/2016
GERBER 1841289063 1841289063 03/06/2017
HART 1528295987 1063650125 12/23/2013
KAUR 1801023395 1295997724 12/31/2018
ALVAREZ 1346239589 1346239589 12/17/2012
MAKULA 1578514329 1598707812 03/26/2018
OLAN 1881684058 1295997724 12/25/2017
DRABKINA 1023097722 1154592020 12/01/2014
YU 1316102148 1508038514 09/07/2015
EGIELSKI 1952391153 1144203498 07/02/2012
Page 552 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2011 1 10453 BRONX
2015 1 11550 NASSAU
2015 1 11234 KINGS
2014 2 11208 KINGS
2013 1 11003 NASSAU
2012 1 10027 NEW YORK
2017 3 11753 NASSAU
2012 1 10458 BRONX
2015 2 14420 MONROE
2016 2 11753 NASSAU
2013 1 11224 KINGS
2014 1 11220 KINGS
2011 1 10013 NEW YORK
Page 553 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
AGHABI RAJA HANNA DDS (40.715749, -
73.601185)
1455 2094 6
CARMAZI MALKA DDS (40.65642, -
73.950691)
809 2090 31
GRAY SONIA ELAINE DDS (40.65642, -
73.950691)
809 2090 31
GERBER SANFORD N DDS (40.715749, -
73.601185)
1455 2094 6
125TH STREET DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ALVAREZ JESUS M (40.85589, -
73.868294)
675 2032 52
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
GULMAR DENTAL PC (40.65642, -
73.950691)
809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -
73.950691)
809 2090 31
CHARLES B WANG COMM HTH CTR I (40.726966, - 737 2095 50
Page 554 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 27
37 27
93
37 108
93
37 176
50 844
93
37 27
37 27
37 108
Page 555 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAY
DENTIST SINTHUJAH
DENTIST ERICKA
DENTIST MYUNG
DENTIST ALAN
DENTIST ELAN
DENTIST MARIA
DENTIST CHETAN
DENTIST SUR
DENTIST MAGDY
DENTIST DAVID
DENTIST KEITH
DENTIST MONICA
Page 556 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BALBER 1750466538 1366589038 05/28/2018
VAITHILINGHAM 1508267626 1508267626 09/25/2017
BUYCO 1902215429 1306112560 03/20/2017
CHO 1932252194 1932252194 02/16/2015
KRONISH 1730309667 1730309667 02/17/2014
KAUFMAN 1427123975 1225201460 05/13/2013
KAROUNOS 1720202708 1619969458 12/25/2017
SAWHNEY 1396062212 1295997724 03/29/2021
LEE 1548463425 1295997724 02/24/2020
TADROS 1205123403 1205123403 03/16/2020
HOU 1659583151 1295997724 12/31/2018
HELLER 1356640551 1366589038 05/28/2018
MORIN 1295708956 1184694291 02/12/2018
Page 557 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 2 11215 KINGS
2016 1 11201 KINGS
2016 1 10457 BRONX
2014 1 10013 NEW YORK
2013 1 11217 KINGS
2012 1 11229 KINGS
2016 2 12501 DUTCHESS
2020 5 11753 NASSAU
2019 5 11753 NASSAU
2016 1 10453 BRONX
2017 3 11753 NASSAU
2016 2 11215 KINGS
2016 2 10453 BRONX
Page 558 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
VAITHILINGHAM SINTHUJAH (40.65642, -
73.950691)
809 2090 31
ZEN DENTAL PC (40.85589, -
73.868294)
675 2032 52
CHO MYUNG H DDS (40.726966, -
74.005966)
737 2095 50
KRONISH ALAN D DMD (40.65642, -
73.950691)
809 2090 31
PEDIATRIC DENTAL ASSOC PC (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
TADROS MAGDY SHOHDY (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, - 675 2032 52
Page 559 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
37 108
37 27
37 27
63
93
93
37 176
93
37 27
37 176
Page 560 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AVIN
DENTIST GREGORY
DENTIST YU-WEN
DENTIST SUMITRA
DENTIST THOMAS
DENTIST PAULA
DENTIST CHARLES
DENTIST DMITRY
DENTIST SHEREE
DENTIST SOLAFA
DENTIST ANDREW
DENTIST YERANEN
DENTIST MARIA
Page 561 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUPTA 1184928640 1083716088 01/14/2013
TADDEO 1821269937 1477764496 12/10/2012
WANG 1093004749 1962716050 03/07/2016
GOLIKERI 1134315625 1134315625 08/12/2013
MORTILLARO 1063536787 1063536787 05/24/2021
SEPANIK 1225178668 1619191855 11/17/2014
FORTE 1225064231 1457395766 08/20/2012
OVRUTSKY 1982677647 1295997724 12/05/2016
MORGAN 1770705634 1477764496 02/02/2015
FATOUH 1790831212 1790831212 10/08/2012
SAROWITZ 1548498678 1316285711 04/14/2014
SHABTAI 1144328154 1295997724 01/01/2018
FIGUEROA 1720270424 1417027558 02/15/2016
Page 562 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 14605 MONROE
2012 1 10010 NEW YORK
2015 1 11003 NASSAU
2012 1 11238 KINGS
2020 4 11209 KINGS
2014 1 14218 ERIE
2011 1 14526 MONROE
2016 1 11753 NASSAU
2014 3 10010 NEW YORK
2012 1 10472 BRONX
2013 1 10016 NEW YORK
2016 2 11753 NASSAU
2014 2 10457 BRONX
Page 563 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
GOLIKERI SUMITRA SAMIDHA DDS (40.65642, -
73.950691)
809 2090 31
MORTILLARO THOMAS ANTHONY DDS (40.65642, -
73.950691)
809 2090 31
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
FATOUH SOLAFA SEDKI (40.85589, -
73.868294)
675 2032 52
COMMUNITY DENTAL CARE OF NYC PLLC (40.726966, -
74.005966)
737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, - 675 2032 52
Page 564 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
93
37 27
37 27
646
50 844
93
37 108
37 176
37 108
93
37 176
Page 565 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SOON
DENTIST SAHAR
DENTIST STANLEY
DENTIST PAUL
DENTIST VALENTIN
DENTIST BIBEKA
DENTIST ALIKA
DENTIST MITCHELL
DENTIST JEFFREY
DENTIST GREGORY
DENTIST THOMAS
DENTIST AKANKSHA
DENTIST FAYEZ
Page 566 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KWON 1194984773 1437231693 05/30/2016
KAMKAR 1073851507 1477764496 09/07/2015
MATTHEWS 1144665506 1275592693 01/22/2018
KIM 1174806525 1174806525 05/01/2017
BAKMAN 1780862078 1912122508 10/12/2018
BHATTARAI KOIRALA 1649538596 1669470019 04/26/2021
CREW 1609915354 1295997724 12/24/2018
STEARN 1912036724 1912036724 09/16/2013
ROUSE 1073711271 1295997724 08/05/2019
HUDECKI 1336317445 1720257512 01/27/2014
DEROSA 1114199783 1982787537 03/27/2017
GERA 1598921728 1477764496 02/02/2015
AZIZ 1558562587 1972781375 02/18/2019
Page 567 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10456 BRONX
2015 1 10026 NEW YORK
2016 1 11206 KINGS
2013 1 10460 BRONX
2013 1 11204 KINGS
2020 3 10467 BRONX
2017 2 11753 NASSAU
2013 1 11238 KINGS
2018 4 11753 NASSAU
2013 1 14226 ERIE
2016 1 14620 MONROE
2014 3 10010 NEW YORK
2017 2 13901 BROOME
Page 568 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.65642, -
73.950691)
809 2090 31
KIM PAUL JOON (40.85589, -
73.868294)
675 2032 52
DIRECT DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
REFUAH HEALTH CENTER INC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
STEARN MITCHELL H DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
WILSON DENTAL PC (42.122015, - 479 2033 45
Page 569 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 27
37 176
37 27
37 176
93
37 27
93
646
50 844
37 108
346
Page 570 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ANGELE
DENTIST JANICE
DENTIST HARVEY
DENTIST MARIA
DENTIST KRISTINA
DENTIST NADEJDA
DENTIST VANITA
DENTIST ALEXANDER
DENTIST ASMAA
DENTIST ROSSANNA
DENTIST M
DENTIST VERONICA
DENTIST NIULKA
Page 571 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DIMITREY 1538378559 1295997724 03/24/2014
LAU 1720139678 1538111653 07/29/2013
HENTELEFF 1124054176 1972781375 05/31/2021
ACOSTA 1467500157 1467500157 03/18/2013
GABRILYANTS 1750443362 1750443362 05/20/2013
STEFANOVA-STEPHENS 1114250941 1417924762 04/13/2015
MUDGIL 1902955693 1538111653 02/15/2016
CAMPAGNA 1720218720 1720257512 10/22/2012
ELMARIA 1003810359 1538111653 02/18/2013
DE LEON 1417142316 1417142316 01/21/2013
TANNENBAUM 1639224256 1720177066 01/14/2019
MARMARA 1609070358 1295997724 04/23/2018
SANCHEZ-REYES 1114194859 1114194859 04/22/2013
Page 572 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2012 1 11220 KINGS
2020 5 13901 BROOME
2012 1 10032 NEW YORK
2012 1 10462 BRONX
2014 1 12207 ALBANY
2014 1 11220 KINGS
2011 1 14226 ERIE
2012 1 11220 KINGS
2012 1 11211 KINGS
2017 5 11249 KINGS
2016 2 11753 NASSAU
2012 1 10467 BRONX
Page 573 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.933191)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ACOSTA MATOS MARIA DEL SOCORRO (40.726966, -
74.005966)
737 2095 50
GABRILYANTS KRISTINA DDS (40.85589, -
73.868294)
675 2032 52
WHITNEY M YOUNG HEALTH CENTER (42.678066, -
73.814233)
40 2030 34
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
DE LEON ROSSANNA DDS (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SANCHEZ REYES NIULKA B DDS (40.85589, - 675 2032 52
Page 574 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
346
37 108
37 176
1 573
37 27
646
37 27
37 27
37 27
93
37 176
Page 575 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YERANEN
DENTIST MARY
DENTIST BHADRESH
DENTIST MARIO
DENTIST MAHMOUD
DENTIST ABDELHAMED
DENTIST JADILIA
DENTIST YURIY
DENTIST HOWARD
DENTIST SHEIKH
DENTIST MOEEN
DENTIST CAROLE
DENTIST INDER
Page 576 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHABTAI 1144328154 1295997724 08/05/2019
GHABRIEL 1295726339 1073503215 11/04/2013
DESAI 1588632616 1588632616 04/21/2014
TUCHMAN 1275556425 1295997724 02/24/2020
ALI 1245251925 1972781375 09/14/2020
TAMARA 1902812134 1902812134 08/19/2013
DDAS 1689708984 1063557189 05/08/2017
SLEPAK 1396892022 1124032982 08/14/2017
ATLAS 1093704041 1093704041 05/01/2017
EUSUF 1255411047 1255411047 08/05/2013
SHEIKH 1144313545 1144313545 02/11/2013
GERMAIN 1457480337 1457480337 08/13/2018
SINGH 1295842136 1144403734 12/29/2017
Page 577 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 4 11753 NASSAU
2013 1 11206 KINGS
2014 1 11212 KINGS
2019 5 11753 NASSAU
2019 4 13901 BROOME
2013 1 11209 KINGS
2015 1 13905 BROOME
2015 1 10038 NEW YORK
2013 1 11236 KINGS
2013 1 11208 KINGS
2012 1 11220 KINGS
2013 1 11226 KINGS
2013 1 10462 BRONX
Page 578 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
A MASKELL DDS AND S MASKELL DDS PC (40.65642, -
73.950691)
809 2090 31
DESAI BHADRESH D DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
TIBA DENTAL PC (40.65642, -
73.950691)
809 2090 31
LOURDES HOSPITAL OB GROUP (42.122015, -
75.933191)
479 2033 45
CONEY ISLAND HOSPITAL (40.726966, -
74.005966)
737 2095 50
ATLAS HOWARD SCOTT (40.65642, -
73.950691)
809 2090 31
EUSUF SHEIKH M DDS (40.65642, -
73.950691)
809 2090 31
SHEIKH MOEEN DDS (40.65642, -
73.950691)
809 2090 31
GERMAIN CAROLE DDS (40.65642, -
73.950691)
809 2090 31
CIRCLE FAMILY DENTAL PC (40.85589, - 675 2032 52
Page 579 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 27
93
346
37 27
346
37 108
37 27
37 27
37 27
37 27
37 176
Page 580 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RAYMOND
DENTIST JOSE
DENTIST PETER
DENTIST HAROLD
DENTIST CHETAN
DENTIST SAMEH
DENTIST DUSTIN
DENTIST ROBERT
DENTIST RICHARD
DENTIST SHILPI
DENTIST AFSHIN
DENTIST ISHMAEL
DENTIST JAMES
Page 581 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SWAINSON 1982862850 1295997724 03/24/2014
ANDRICKSON 1184819757 1487826053 03/17/2017
CATAPANO 1669514667 1073535027 08/28/2017
EDWARDS 1760563019 1760563019 09/16/2013
SAWHNEY 1396062212 1295997724 02/24/2020
AKNOUK 1689787947 1689787947 12/29/2020
SOLIS 1730382367 1730382367 11/03/2017
YAN 1053710418 1982683249 09/25/2017
GOCHMAN 1346246733 1417027558 05/07/2018
AHLUWALIA 1689764631 1265596548 05/14/2012
SHAMAIZADEH 1992981054 1972781375 09/21/2020
HASAN 1902146954 1972781375 10/23/2017
RODRIGUEZ 1811082613 1538111653 04/22/2013
Page 582 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11753 NASSAU
2012 1 11206 KINGS
2016 1 10016 NEW YORK
2013 1 10458 BRONX
2019 4 11753 NASSAU
2014 1 10462 BRONX
2012 1 11501 NASSAU
2016 1 11214 KINGS
2016 2 10457 BRONX
2011 1 10459 BRONX
2019 4 13901 BROOME
2016 1 13901 BROOME
2012 1 11215 KINGS
Page 583 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ANDRICKSON DENTAL OFFICE PC (40.65642, -
73.950691)
809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
EDWARDS HAROLD GLENN DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AKNOUK SAMEH H DDS (40.85589, -
73.868294)
675 2032 52
SOLIS DUSTIN R DDS (40.715749, -
73.601185)
1455 2094 6
IRA GRONOWITZ D D S PC (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
URBAN HEALTH PLAN INC (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 584 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 27
37 108
37 176
93
37 176
93
37 27
37 176
37 176
346
346
37 27
Page 585 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARIA
DENTIST MANALI
DENTIST RYAN
DENTIST SAMY
DENTIST RICHARD
DENTIST WILLIAM
DENTIST PAUL
DENTIST DAVID
DENTIST JIM
DENTIST MELISSA
DENTIST DAVID
DENTIST JAMSHED
DENTIST IRIT
Page 586 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DILLE 1902986797 1609946821 03/26/2018
KANITKAR 1447475967 1447298070 04/16/2018
MAINE 1235378803 1902077928 10/08/2012
ABDELMESSIH 1114909686 1972781375 10/22/2012
SPEISMAN 1053335760 1255360517 06/18/2018
LEICHT 1992730758 1598707812 09/18/2017
GATES 1033115506 1417027558 02/11/2019
CHO 1609180181 1609180181 08/12/2013
GHARDA 1184843211 1295997724 01/12/2015
COPELLA 1316045297 1912225236 12/22/2014
MASLANSKY 1235278946 1720177066 05/07/2012
GHARDA 1184843211 1295997724 03/29/2021
SUSSMAN MIROCZNIK 1447305065 1720177066 01/14/2019
Page 587 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 2 13601 JEFFERSON
2016 1 11237 KINGS
2011 1 14216 ERIE
2012 1 13901 BROOME
2016 3 14534 MONROE
2015 2 14420 MONROE
2017 3 10457 BRONX
2013 1 10460 BRONX
2014 1 11753 NASSAU
2014 3 14604 MONROE
2011 1 11249 KINGS
2020 6 11753 NASSAU
2017 6 11249 KINGS
Page 588 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -
73.950691)
809 2090 31
KENMORE QUALITY CARE DENTISTRY (42.888143, -
78.795544)
62 2041 63
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
OAK ORCHARD COMM HLTH CTR INC (43.161748, -
77.620143)
1666 2093 56
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
CHO DAVID TYLER (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
RUSHVILLE HEALTH CENTER INC (43.161748, -
77.620143)
1666 2093 56
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 589 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
705
37 27
646
346
50 844
50 844
37 176
37 176
93
50 844
37 27
93
37 27
Page 590 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST VIRAJ
DENTIST MAYER
DENTIST JADE
DENTIST MATTHEW
DENTIST JULIE
DENTIST KIRTI
DENTIST STEPHEN
DENTIST KARLA
DENTIST JEFFREY
DENTIST DOUGLAS
DENTIST STEVEN
DENTIST MARK
DENTIST PHILIP
Page 591 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GADKAR 1659548410 1659548410 09/01/2014
NOSKOW 1316267032 1215319124 01/22/2018
RITTER 1487968467 1043374853 07/07/2014
LIEBERMAN 1427056316 1366589038 03/30/2015
SUN 1386715944 1366589038 07/29/2013
TEWARI 1730396490 1730396490 06/24/2013
BRENNER 1255392106 1548229958 09/14/2015
ISAACS 1437123015 1437123015 05/13/2013
TENENBAUM 1598755639 1598755639 01/21/2013
POLLACK 1972671063 1073535027 09/25/2017
GREEN 1649326125 1649326125 12/21/2015
APFEL 1437204054 1720177066 08/28/2017
ZAVELOFF 1881746808 1720177066 01/14/2019
Page 592 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11575 NASSAU
2016 1 12601 DUTCHESS
2013 1 13118 CAYUGA
2013 1 11215 KINGS
2012 1 11215 KINGS
2012 1 10467 BRONX
2014 1 11201 KINGS
2012 1 10458 BRONX
2012 1 11218 KINGS
2016 1 10038 NEW YORK
2012 1 11214 KINGS
2015 4 11249 KINGS
2017 5 11249 KINGS
Page 593 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
GADKAR VIRAJ VASANT DMD (40.715749, -
73.601185)
1455 2094 6
PEDIATRIC DENTISTRY OF
POUGHKEEPSIE
(41.686216, -
73.840468)
1022 2040 30
FAMILY HLTH NETWRK CENTRAL NY (42.940095, -
76.560755)
343 618 43
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
TEWARI KIRTI (40.85589, -
73.868294)
675 2032 52
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
ISAACS KARLA DDS (40.85589, -
73.868294)
675 2032 52
TENENBAUM JEFFREY DDS (40.65642, -
73.950691)
809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
GREEN STEVEN J (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, - 809 2090 31
Page 594 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
63
660
37 27
37 27
37 176
37 27
37 176
37 27
37 108
37 27
37 27
37 27
Page 595 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAVID
DENTIST SIMMY
DENTIST YASEMIN
DENTIST MICHAEL
DENTIST JACKIE
DENTIST CLAUDIA
DENTIST SHEENA
DENTIST ROBERT
DENTIST STEPHANIE
DENTIST ARTHUR
DENTIST JONATHAN
DENTIST HRISOULA
DENTIST PIERPAOLO
Page 596 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KESSLER 1881617363 1881617363 11/17/2014
ARORA 1174659403 1174659403 03/17/2014
KILICAL 1134435340 1437231693 11/13/2017
YUNKER 1972611580 1982787537 03/27/2017
LAM 1689016941 1609946821 02/18/2019
BOTERO-MONDUL 1710977749 1710977749 07/25/2016
SINGH 1467874685 1467874685 01/22/2018
GOLDBERGER 1487662870 1366589038 05/28/2018
DROZ 1356660054 1578612412 01/28/2019
SEKULER 1316062946 1548229958 12/14/2015
LAZAR 1689872400 1720177066 10/30/2017
PAPADOPOULOS 1639264823 1619969458 06/18/2018
PRECERUTI 1265465611 1831303569 09/29/2021
Page 597 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11211 KINGS
2013 1 11550 NASSAU
2016 1 10456 BRONX
2016 1 14620 MONROE
2017 3 13601 JEFFERSON
2012 1 10033 NEW YORK
2015 1 11238 KINGS
2016 2 11215 KINGS
2017 3 11212 KINGS
2014 1 11566 NASSAU
2015 2 11249 KINGS
2016 3 12601 DUTCHESS
2014 1 12205 ALBANY
Page 598 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
KESSLER DAVID A DDS (40.65642, -
73.950691)
809 2090 31
ARORA SIMMY DDS (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
BOTERO-MONDUL CLAUDIA DDS PC (40.726966, -
74.005966)
737 2095 50
SINGH SHEENA (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
METROPOLITAN DENTAL ASSOC DDS (40.715749, -
73.601185)
1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, - 40 2030 34
Page 599 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
37 176
50 844
705
37 108
37 27
37 27
37 27
93
37 27
63
1 573
Page 600 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALBERT
DENTIST DARWIN
DENTIST JACQUELINE
DENTIST RICHARD
DENTIST DENA
DENTIST CHARLES
DENTIST VERONICA
DENTIST THOMAS
DENTIST THOMAS
DENTIST STEVEN
DENTIST MEI
DENTIST ROBERT
DENTIST IVETTA
Page 601 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MATUZA 1619171386 1295997724 05/03/2021
HAYES 1932227121 1437231693 05/30/2016
GREEN 1417318411 1336113398 11/06/2017
SPEISMAN 1053335760 1255360517 11/18/2013
HANNA 1982987327 1477764496 08/26/2013
BEARD 1558338087 1033178561 12/10/2018
MARMARA 1609070358 1295997724 03/24/2014
CASEY 1376534594 1619191855 06/15/2015
BENJAMIN 1407862394 1265596548 05/14/2012
ESSIG 1750371415 1750371415 03/24/2014
LI 1881927606 1083716088 03/23/2015
SHANOCK 1023144110 1023144110 03/16/2020
KROL 1487727269 1487727269 10/29/2012
Page 602 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 6 11753 NASSAU
2015 1 10457 BRONX
2016 1 11217 KINGS
2012 1 14534 MONROE
2013 2 10010 NEW YORK
2017 2 11216 KINGS
2013 1 11753 NASSAU
2014 1 14225 ERIE
2011 1 10459 BRONX
2013 1 12143 ALBANY
2014 1 14605 MONROE
2015 1 10475 BRONX
2012 1 11204 KINGS
Page 603 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.814233)
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
BROOKLYN PLAZA MEDICAL CTR (40.65642, -
73.950691)
809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
COMMUNITY HEALTHCARE NETWORK (40.726966, -
74.005966)
737 2095 50
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BAKER VICTORY HEALTHCARE CTR (42.888143, -
78.795544)
62 2041 63
URBAN HEALTH PLAN INC (40.85589, -
73.868294)
675 2032 52
ESSIG STEVEN L PC DDS (42.678066, -
73.814233)
40 2030 34
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
SHANOCK ROBERT S DDS (40.85589, -
73.868294)
675 2032 52
KROL IVETTA DDS (40.65642, - 809 2090 31
Page 604 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
37 27
50 844
37 108
37 27
93
646
37 176
1 573
50 844
37 176
37 27
Page 605 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CONRAD
DENTIST YERANEN
DENTIST SHALOM
DENTIST IVONNE
DENTIST TANU
DENTIST PAUL
DENTIST KONRAD
DENTIST BIBEKA
DENTIST PAUL
DENTIST VIRENDRA
DENTIST PAUL
DENTIST BRANDON
DENTIST JULIA
Page 606 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHEUNG 1972694214 1538111653 05/13/2013
SHABTAI 1144328154 1295997724 03/24/2014
BLOBSTEIN 1043607559 1043607559 01/14/2019
ALVAREZ 1164411542 1164411542 08/16/2016
PRAKASH 1922336577 1427171966 05/01/2017
MARKEL 1396976486 1396976486 08/18/2014
WIKTORZAK 1780864488 1295997724 07/07/2014
BHATTARAI KOIRALA 1649538596 1669470019 08/31/2020
MARKEL 1396976486 1295997724 02/24/2020
SHAH 1801869110 1801869110 12/19/2017
CHU 1750363388 1548367873 11/30/2015
KATZ 1285894592 1295997724 08/05/2019
MOUROKH 1174771778 1174771778 10/06/2014
Page 607 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11220 KINGS
2013 1 11753 NASSAU
2017 2 11581 NASSAU
2012 1 10458 BRONX
2012 1 11237 KINGS
2013 1 11753 NASSAU
2014 1 11753 NASSAU
2019 2 10467 BRONX
2019 5 11753 NASSAU
2013 1 11207 KINGS
2014 1 10457 BRONX
2018 3 11753 NASSAU
2014 1 11201 KINGS
Page 608 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
BLOBSTEIN SHALOM (40.715749, -
73.601185)
1455 2094 6
ALVAREZ IVONNE DDS (40.85589, -
73.868294)
675 2032 52
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
MARKEL PAUL (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
REFUAH HEALTH CENTER INC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SHAH VIRENDRA N DDS (40.65642, -
73.950691)
809 2090 31
ST BARNABAS HOSPITAL (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MOUROKH JULIA DDS (40.65642, - 809 2090 31
Page 609 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
93
37 176
37 27
93
93
37 176
93
37 27
37 176
93
37 27
Page 610 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JUDITH
DENTIST JOHN
DENTIST WAI YEE
DENTIST MOHAMMAD
DENTIST RAMESH
DENTIST CARMEN
DENTIST PAUL
DENTIST PETER
DENTIST ROBERT
DENTIST FLORA
DENTIST NIULKA
DENTIST OLGA
DENTIST JUSTIN
Page 611 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OLSHIN 1508932237 1073689600 04/27/2015
DOW 1073849048 1295997724 04/27/2015
CHUNG 1891778957 1245334564 12/16/2013
BILLAH 1437132040 1437132040 12/03/2018
VINJAMURI 1689781833 1689781833 01/17/2020
VIDAL 1538389440 1043374853 01/14/2013
MARKEL 1396976486 1295997724 12/24/2018
MO 1558339705 1558339705 08/24/2015
CHANG 1306969415 1831303569 09/07/2015
BERENSHTEYN 1750367181 1790757987 06/23/2014
SANCHEZ-REYES 1114194859 1114194859 02/09/2017
GELFAND 1750370979 1538323241 01/01/2018
FOX 1841676087 1417924762 06/19/2017
Page 612 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 4 11545 NASSAU
2014 1 11753 NASSAU
2013 1 10468 BRONX
2014 1 11211 KINGS
2014 1 10455 BRONX
2012 1 13045 CORTLAND
2017 3 11753 NASSAU
2014 2 11220 KINGS
2014 1 12205 ALBANY
2013 1 11235 KINGS
2012 1 10467 BRONX
2016 1 11235 KINGS
2016 1 12208 ALBANY
Page 613 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LDFCB DENTISTRY LLC (40.85589, -
73.868294)
675 2032 52
BILLAH MOHAMMAD M DDS (40.65642, -
73.950691)
809 2090 31
VINJAMURI RAMESH KUMAR DDS (40.85589, -
73.868294)
675 2032 52
FAMILY HLTH NETWRK CENTRAL NY (42.597101, -
76.143291)
362 620 44
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
MO PETER PI TAK DDS (40.65642, -
73.950691)
809 2090 31
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
F&A SUPERIOR DENTAL PC (40.65642, -
73.950691)
809 2090 31
SANCHEZ REYES NIULKA B DDS (40.85589, -
73.868294)
675 2032 52
GAMMA SHEEPSHEAD BAY DENTAL PC (40.65642, -
73.950691)
809 2090 31
WHITNEY M YOUNG HEALTH CENTER (42.678066, - 40 2030 34
Page 614 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
93
37 176
37 27
37 176
537
93
37 27
1 573
37 27
37 176
37 27
1 573
Page 615 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEFFREY
DENTIST MICHAEL
DENTIST KEITH
DENTIST AYELET
DENTIST CARMEN
DENTIST SHERINE
DENTIST DAVID
DENTIST ROBERT
DENTIST HARVEY
DENTIST MARIO
DENTIST YURY
DENTIST MARK
DENTIST MAJID
Page 616 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEINTRAUB 1649394438 1720177066 07/13/2015
WEISS 1306821681 1306821681 09/24/2012
MARGULIS 1427114842 1023024882 11/02/2015
YOLES 1992757538 1265596548 03/25/2013
RIJOS 1780655365 1780655365 05/01/2017
IBRAHIM 1073720181 1295997724 02/24/2020
ASAD 1992928741 1992928741 12/30/2013
YAN 1053710418 1982683249 01/11/2021
SCHILOWITZ 1407845753 1407845753 01/21/2013
TUCHMAN 1275556425 1295997724 04/14/2014
BABECK 1235128463 1982683249 10/02/2017
DONAHUE 1487822219 1720257512 10/15/2012
JAMALI 1043534167 1366589038 05/28/2018
Page 617 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 11249 KINGS
2012 1 11232 KINGS
2014 1 10461 BRONX
2012 1 10459 BRONX
2013 1 10468 BRONX
2019 5 11753 NASSAU
2013 1 11218 KINGS
2016 1 11214 KINGS
2012 1 10451 BRONX
2013 1 11753 NASSAU
2016 1 10473 BRONX
2011 1 14226 ERIE
2016 1 11215 KINGS
Page 618 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.814233)
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
WEISS MICHAEL JAY DDS (40.65642, -
73.950691)
809 2090 31
NORTH CENTRAL BRONX (40.85589, -
73.868294)
675 2032 52
URBAN HEALTH PLAN INC (40.85589, -
73.868294)
675 2032 52
RIJOS CARMEN MIREYA DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ASAD DAVID DDS (40.65642, -
73.950691)
809 2090 31
IRA GRONOWITZ D D S PC (40.65642, -
73.950691)
809 2090 31
SCHILOWITZ HARVEY L (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
IRA GRONOWITZ D D S PC (40.85589, -
73.868294)
675 2032 52
ROBERT J LACARRUBBA DDS PC (42.888143, -
78.795544)
62 2041 63
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 619 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 176
37 176
37 176
93
37 27
37 27
37 176
93
37 176
646
37 27
Page 620 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HUSSEIN
DENTIST YEVGENIYA
DENTIST ALIKA
DENTIST PURA
DENTIST DEV
DENTIST MICHAEL
DENTIST TRICIA
DENTIST VADIM
DENTIST MICHAEL
DENTIST CHRISTOPHER
DENTIST LISA
DENTIST EMIL
DENTIST AARON
Page 621 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ABDELWAHAB 1609833797 1609833797 05/01/2017
ROYTMAN 1588850432 1033178561 08/14/2017
CREW 1609915354 1295997724 08/05/2019
RIVAS VILLANUEVA 1285815282 1285815282 09/24/2012
MISHRA 1831174135 1831174135 12/17/2012
CAPOZZI 1659679769 1275592693 09/09/2019
QUARTEY 1669795654 1184694291 05/06/2013
KHRAKOVSKY 1255413738 1083767222 03/14/2016
WILSON 1972654192 1972781375 09/14/2020
DILLON 1184631939 1801199815 03/04/2013
BRUNO 1740442672 1982787537 04/03/2017
NASIMOV 1740469238 1740469238 01/08/2018
BRANDWEIN 1245215425 1366589038 07/29/2013
Page 622 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11226 KINGS
2016 1 11216 KINGS
2018 3 11753 NASSAU
2012 1 11220 KINGS
2012 1 11213 KINGS
2014 1 11211 KINGS
2012 1 10453 BRONX
2015 1 11224 KINGS
2019 4 13901 BROOME
2012 1 10462 BRONX
2016 1 14642 MONROE
2016 1 11218 KINGS
2012 1 11215 KINGS
Page 623 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ABDELWAHAB HUSSEIN Y DDS (40.65642, -
73.950691)
809 2090 31
BED STUY FAMILY HLTH CTR (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
VILLANUEVA RIVAS PURA M DDS (40.65642, -
73.950691)
809 2090 31
DEV D MISHRA DDS PC (40.65642, -
73.950691)
809 2090 31
DENTAL SPECIALTY ASSOC PC (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
BRIGHT SMILE DENTAL PC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
CHRISTOPHER DILLON DDS PLLC (40.85589, -
73.868294)
675 2032 52
EASTMAN DENTAL CENTER (43.161748, -
77.620143)
1666 2093 56
NASIMOV EMIL E DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, - 809 2090 31
Page 624 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
93
37 27
37 27
37 27
37 176
37 27
346
37 176
50 844
37 27
37 27
Page 625 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARVINDER
DENTIST CHANDRA
DENTIST WINARDO
DENTIST ROBERT
DENTIST MITA
DENTIST LORIS
DENTIST MARYAM
DENTIST HARVEY
DENTIST JOHN
DENTIST SYDNEY
DENTIST HARVEY
DENTIST ALLA
DENTIST FABIOLA
Page 626 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SINGH 1982746871 1982746871 03/06/2017
KAUSHIK 1023160124 1295997724 03/24/2014
LOMBOY 1063620425 1962716050 04/08/2019
ADLER 1700898418 1700898418 08/28/2017
PATEL 1881787158 1578612412 10/15/2018
ABRAHAM 1972714699 1295997724 02/15/2021
HARIRI 1851627376 1972781375 05/31/2021
HENTELEFF 1124054176 1972781375 12/23/2019
GIBSON 1578509139 1609813971 05/27/2013
PIGOTT 1982674909 1982674909 07/28/2014
HENTELEFF 1124054176 1972781375 02/18/2019
GIZERSKAYA 1942576434 1043505522 03/20/2017
MILORD 1295728913 1588782650 10/08/2012
Page 627 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11211 KINGS
2013 1 11753 NASSAU
2017 3 11575 NASSAU
2015 3 11219 KINGS
2016 1 11218 KINGS
2020 6 11753 NASSAU
2020 5 13901 BROOME
2018 3 13901 BROOME
2012 1 13021 CAYUGA
2014 1 11552 NASSAU
2017 2 13901 BROOME
2016 1 10458 BRONX
2012 1 11520 NASSAU
Page 628 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
SINGH ARVINDER DMD (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -
73.601185)
1455 2094 6
ADLER ROBERT DDS (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
SUMMIT PEDIATRICS (42.940095, -
76.560755)
343 618 43
PIGOTT EDWARD SYDNEY DDS PC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
KELLY YU (40.85589, -
73.868294)
675 2032 52
CATHOLIC CHARITIES HLTH AADC (40.715749, - 1455 2094 6
Page 629 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
93
37 27
37 27
93
346
346
660
93
346
37 176
93
Page 630 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MONICA
DENTIST PAUL
DENTIST MONIE
DENTIST GILA
DENTIST CHANDRA
DENTIST FAYEZ
DENTIST JING YAO
DENTIST ELLIOT
DENTIST MIRIAM
DENTIST SIDDIQUR
DENTIST PRABODH
DENTIST JEFFREY
DENTIST SUSANNA
Page 631 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SONG 1447517727 1942525985 03/20/2017
MARKEL 1396976486 1295997724 03/29/2021
CLAUSER 1003008285 1003008285 02/10/2014
BEER 1700198769 1295997724 07/02/2018
KAUSHIK 1023160124 1295997724 05/03/2021
AZIZ 1558562587 1972781375 10/22/2012
YE 1750443958 1396059499 09/23/2019
GROTELL 1205036290 1972781375 12/10/2012
BONET 1760471791 1598953655 04/29/2013
RAHMAN 1033251699 1033251699 11/17/2014
LATHIGARA 1629288568 1629288568 03/03/2014
BURNS 1659361624 1538111653 03/18/2013
JACOB 1851775563 1619969458 07/31/2017
Page 632 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10455 BRONX
2020 6 11753 NASSAU
2013 1 14221 ERIE
2016 2 11753 NASSAU
2020 6 11753 NASSAU
2012 1 13901 BROOME
2018 4 11575 NASSAU
2012 1 13901 BROOME
2012 1 11237 KINGS
2014 3 11211 KINGS
2013 1 11237 KINGS
2012 1 11220 KINGS
2016 1 12501 DUTCHESS
Page 633 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.601185)
OPEN DENTAL PC (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CLAUSER MONIE A DDS (42.888143, -
78.795544)
62 2041 63
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
UNIVERSAL DENTAL ARTS PC (40.65642, -
73.950691)
809 2090 31
RAHMAN SIDDIQUR DDS (40.65642, -
73.950691)
809 2090 31
LATHIGARA PRABODH M DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, - 1022 2040 30
Page 634 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
646
93
93
346
93
346
37 27
37 27
37 27
37 27
63
Page 635 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOSE
DENTIST ELIYAHU
DENTIST PEDER
DENTIST JAYASHREE
DENTIST LEONID
DENTIST PAUL
DENTIST HECTOR
DENTIST JAMES
DENTIST JEREMY
DENTIST MARTINA
DENTIST REGINA
DENTIST SOFIYA
DENTIST FLORALBA
Page 636 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANTANA 1942344411 1942344411 04/29/2013
BALAKHANE 1598882300 1598882300 11/25/2013
HANCHER 1598793218 1598793218 07/28/2014
BHINDA 1134303084 1295997724 03/24/2014
LEVIT 1861547663 1861547663 11/03/2017
MARSH 1518187632 1588870059 06/17/2013
BERNABE 1104815406 1104815406 03/11/2013
LEUNG 1376668665 1376668665 10/29/2012
LASSETTER 1457542417 1831303569 09/29/2021
BALLAST 1558481937 1558481937 09/02/2013
SAVCHUK 1023008919 1023008919 09/13/2019
ZINKOVETSKAYA 1669400693 1669400693 11/26/2012
GARCIA 1205996345 1205996345 09/11/2017
Page 637 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11209 KINGS
2013 1 11219 KINGS
2014 1 14895 ALLEGANY
2013 1 11753 NASSAU
2013 1 11218 KINGS
2012 1 10457 BRONX
2012 1 10457 BRONX
2012 1 11220 KINGS
2014 1 12205 ALBANY
2013 1 10033 NEW YORK
2015 1 11226 KINGS
2012 1 11226 KINGS
2016 1 10451 BRONX
Page 638 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.840468)
SANTANA JOSE E DDS (40.65642, -
73.950691)
809 2090 31
BALAKHANE ELIYAHU DDS (40.65642, -
73.950691)
809 2090 31
HANCHER PEDER J DDS (42.226801, -
78.020567)
1759 2031 57
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
LEVIT LEONID DDS (40.65642, -
73.950691)
809 2090 31
GOLD ANDREW F DDS (40.85589, -
73.868294)
675 2032 52
BERNABE HECTOR BOLIVAR DDS (40.85589, -
73.868294)
675 2032 52
LEUNG JAMES DDS (40.65642, -
73.950691)
809 2090 31
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -
73.814233)
40 2030 34
BALLAST MARTINA MARIA DDS (40.726966, -
74.005966)
737 2095 50
SAVCHUK REGINA DDS (40.65642, -
73.950691)
809 2090 31
ZINKOVETSKAYA SOFIYA DDS (40.65642, -
73.950691)
809 2090 31
GARCIA FLORALBA DDS (40.85589, - 675 2032 52
Page 639 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
434
93
37 27
37 176
37 176
37 27
1 573
37 108
37 27
37 27
37 176
Page 640 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TZIRI
DENTIST FIDEL
DENTIST RICHARD
DENTIST MARGARET
DENTIST NATASHA
DENTIST GRACE SUN AE
DENTIST ILYA
DENTIST TERRY
DENTIST CLIFFORD
DENTIST MICHAEL
DENTIST RYANN
DENTIST JACK
DENTIST JOHN
Page 641 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SALAMON 1043469885 1720177066 07/13/2015
ABREU-BENITEZ 1396843884 1396843884 10/06/2017
SPEISMAN 1053335760 1255360517 10/02/2017
YEW 1699181982 1972781375 12/16/2019
JEAN-CHARLES 1396030797 1396059499 03/09/2020
HUR 1396142154 1295997724 01/25/2016
FREYBERG 1841345485 1841345485 07/13/2015
LIEBMAN 1669519344 1609048644 10/07/2013
SAPER 1548242415 1295997724 03/24/2014
SALKIN 1710266721 1316285711 04/14/2014
BEVILACQUA 1588856751 1588856751 04/15/2013
KASSAB 1760473888 1760473888 07/20/2017
CELONA 1487868881 1538111653 03/18/2013
Page 642 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 11249 KINGS
2013 1 11520 NASSAU
2015 2 14534 MONROE
2018 3 13901 BROOME
2019 4 11575 NASSAU
2015 1 11753 NASSAU
2015 1 11226 KINGS
2013 1 11222 KINGS
2013 1 11753 NASSAU
2013 1 11229 KINGS
2012 1 14052 ERIE
2012 1 11208 KINGS
2012 1 11220 KINGS
Page 643 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.868294)
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
ABREU-BENITEZ FIDEL DDS (40.715749, -
73.601185)
1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -
77.620143)
1666 2093 56
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
FREYBERG ILYA DDS (40.65642, -
73.950691)
809 2090 31
MANHATTAN AVEUNE FAMILY DENTAL
PLLC
(40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
COMMUNITY DENTAL CARE OF NYC PLLC (40.65642, -
73.950691)
809 2090 31
BEVILACQUA RYANN MARY DDS (42.888143, -
78.795544)
62 2041 63
KASSAB JACK DDS (40.65642, -
73.950691)
809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, - 809 2090 31
Page 644 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
93
50 844
346
93
93
37 27
37 27
93
37 27
646
37 27
37 27
Page 645 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GABRIEL
DENTIST SIMERJIT
DENTIST IMRAN
DENTIST DAVID
DENTIST MAHMOUD
DENTIST HULDA
DENTIST MONICA
DENTIST ANDREW
DENTIST RITAMARIE
DENTIST IGOR
DENTIST VARSHA
DENTIST ALISON
DENTIST ANNE
Page 646 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ISIOYE 1942281829 1942281829 12/01/2016
KAUR 1801023395 1295997724 03/29/2021
AHMED 1699954859 1699954859 10/26/2017
MASLANSKY 1235278946 1720177066 04/22/2013
ALI 1245251925 1972781375 02/29/2016
CLAUDE 1023165693 1336289842 01/20/2014
MEHRA 1548343080 1548343080 11/09/2015
GOLD 1922098698 1588870059 10/29/2012
BILELLO 1205011814 1841536554 12/05/2016
ELIAV 1497924617 1497924617 01/06/2014
SHAH 1801864848 1801864848 07/28/2014
BARATY 1780942888 1780942888 12/05/2016
YU 1316102148 1508038514 09/03/2019
Page 647 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10463 BRONX
2020 6 11753 NASSAU
2012 1 10458 BRONX
2012 2 11249 KINGS
2015 1 13901 BROOME
2013 1 11221 KINGS
2015 1 10459 BRONX
2011 1 10457 BRONX
2015 1 10460 BRONX
2013 1 11222 KINGS
2014 1 10468 BRONX
2016 1 10461 BRONX
2014 1 11220 KINGS
Page 648 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
ISIOYE GABRIEL DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
AHMED IMRAN M DDS (40.85589, -
73.868294)
675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
ALEXANDER D MILLER DDS (40.65642, -
73.950691)
809 2090 31
MEHRA MONICA DDS (40.85589, -
73.868294)
675 2032 52
GOLD ANDREW F DDS (40.85589, -
73.868294)
675 2032 52
METRO COMMUNITY HEALTH CENTERS
INC
(40.85589, -
73.868294)
675 2032 52
ELIAV IGOR G (40.65642, -
73.950691)
809 2090 31
SHAH VARSHA DIVECHA (40.85589, -
73.868294)
675 2032 52
BARATY ALISON SAHAR (40.85589, -
73.868294)
675 2032 52
SEVENTH AVENUE DENTAL PC (40.65642, - 809 2090 31
Page 649 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
37 176
37 27
346
37 27
37 176
37 176
37 176
37 27
37 176
37 176
37 27
Page 650 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JANE
DENTIST LESTER
DENTIST RENRICK
DENTIST SHEEBA
DENTIST LI
DENTIST LEWIS
DENTIST THOMAS
DENTIST ALPHEIA
DENTIST TIMOTHY
DENTIST VASANT
DENTIST DESTINY
DENTIST JUNGHWAN
DENTIST FLORA
Page 651 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JAROONNARM 1477723468 1427171966 10/21/2013
TOPOROVSKY 1144264607 1811059728 01/19/2015
BENN 1851325757 1851325757 08/11/2014
CHAUDHRY 1497060438 1619969458 12/22/2014
NING 1972836708 1083716088 10/14/2013
O'SHEA 1275799058 1073689600 03/26/2018
RIUTTA 1437350691 1295997724 02/24/2020
JOHNSON 1528057510 1528057510 03/11/2013
ENTWISTLE 1346273109 1457395766 09/04/2017
GADKAR 1023129400 1023129400 09/28/2018
BEAN 1558709378 1295997724 03/27/2017
SOH 1528278769 1639247976 11/03/2017
NIDERMAN 1073669735 1073669735 01/20/2014
Page 652 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11203 KINGS
2014 1 11201 KINGS
2014 1 11213 KINGS
2014 1 12601 DUTCHESS
2013 1 14605 MONROE
2015 4 11545 NASSAU
2019 3 11753 NASSAU
2012 1 11238 KINGS
2015 2 14626 MONROE
2014 1 11221 KINGS
2016 1 11753 NASSAU
2013 1 10463 BRONX
2013 1 11201 KINGS
Page 653 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
PARK DENTAL CARE OF BROOKLYN PLLC (40.65642, -
73.950691)
809 2090 31
HANSON PLACE DENTAL ASSOCIATES LLP (40.65642, -
73.950691)
809 2090 31
BENN RENRICK CARLOS DDS (40.65642, -
73.950691)
809 2090 31
HUDSON RIVER HEALTHCARE INC (41.686216, -
73.840468)
1022 2040 30
ANTHONY L JORDAN HEALTH CTR (43.161748, -
77.620143)
1666 2093 56
ADVANTAGE CARE D AND T CTR (40.715749, -
73.601185)
1455 2094 6
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
JOHNSON ALPHEIA (40.65642, -
73.950691)
809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -
77.620143)
1666 2093 56
GADKAR VASANT L DDS (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
ELLIOT SABBAGH DDS PC (40.85589, -
73.868294)
675 2032 52
NIDERMAN FLORA DDS (40.65642, - 809 2090 31
Page 654 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
63
50 844
93
93
37 27
50 844
37 27
93
37 176
37 27
Page 655 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DIVAKAR
DENTIST MAHMOUD
DENTIST FRANK
DENTIST ALOPARANI
DENTIST KARANJIT
DENTIST MOHAMMED
DENTIST JOSEPH
DENTIST CHEONG
DENTIST ZACHARY
DENTIST ASHLEY
DENTIST RAWLE
DENTIST JERRY
DENTIST FILZA
Page 656 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHOKSHI 1356313159 1578612412 01/04/2016
ALI 1245251925 1972781375 12/16/2019
KIRKLAND 1689701971 1689701971 10/01/2018
MAHADKAR 1184700536 1184700536 12/16/2013
KAMBOJ 1861878498 1932453172 03/16/2020
MUKIT 1871685719 1871685719 01/25/2016
RADIX 1891848578 1578612412 08/06/2018
LEE 1760757512 1184694291 09/25/2017
GORDEN 1639168727 1639168727 07/28/2014
BEARDS 1578661153 1417027558 05/07/2018
PHILBERT 1275619124 1427063270 09/14/2015
STEINBERG 1275697096 1275697096 02/18/2013
JAMIL 1154704922 1982683249 09/25/2017
Page 657 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11212 KINGS
2018 3 13901 BROOME
2013 1 11225 KINGS
2013 1 10454 BRONX
2016 1 11577 NASSAU
2014 3 11233 KINGS
2016 2 11212 KINGS
2016 1 10453 BRONX
2014 1 11219 KINGS
2016 2 10457 BRONX
2014 1 10451 BRONX
2012 1 11204 KINGS
2016 1 11215 KINGS
Page 658 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
KIRKLAND FRANK DUANE DDS (40.65642, -
73.950691)
809 2090 31
MAHADKAR ALOPARANI M DDS (40.85589, -
73.868294)
675 2032 52
P & R EXECUTIVE DENTAL MANAGEMENT (40.715749, -
73.601185)
1455 2094 6
MUKIT MD ABDUL DDS (40.65642, -
73.950691)
809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
GORDEN ZACHARY DDS (40.65642, -
73.950691)
809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -
73.868294)
675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.85589, -
73.868294)
675 2032 52
STEINBERG JERRY L DDS (40.65642, -
73.950691)
809 2090 31
IRA GRONOWITZ D D S PC (40.65642, - 809 2090 31
Page 659 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
346
37 27
37 176
93
37 27
37 27
37 176
37 27
37 176
37 176
37 27
37 27
Page 660 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KAUSHIK
DENTIST RONALD
DENTIST ROBERTO
DENTIST BORIS
DENTIST PRITI
DENTIST ANGELE
DENTIST WINARDO
DENTIST LYUBOV
DENTIST LORIS
DENTIST ROBERT
DENTIST M M
DENTIST YULIYA
DENTIST MERAV
Page 661 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VANI 1194883108 1194883108 08/12/2013
BIONDO 1114189479 1902127897 03/09/2015
PARRA 1790985505 1972781375 02/18/2019
KAYLAKOV 1518342856 1295997724 12/31/2018
PARIKH 1598754707 1598754707 01/04/2016
DIMITREY 1538378559 1295997724 12/25/2017
LOMBOY 1063620425 1396059499 02/01/2021
FEYGIN 1063420131 1063420131 06/15/2015
ABRAHAM 1972714699 1295997724 08/05/2019
CRABTREE 1053397307 1053397307 10/20/2014
ROB 1972760296 1972760296 03/12/2018
ALTERMAN 1588943351 1538111653 06/02/2014
FRUCHTER 1447385265 1427098227 10/01/2012
Page 662 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10456 BRONX
2014 1 10463 BRONX
2017 2 13901 BROOME
2017 2 11753 NASSAU
2015 1 10472 BRONX
2016 2 11753 NASSAU
2020 5 11575 NASSAU
2014 1 10461 BRONX
2018 4 11753 NASSAU
2014 2 14209 ERIE
2016 2 10460 BRONX
2013 1 11220 KINGS
2012 1 11218 KINGS
Page 663 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
VANI KAUSHIK S DDS (40.85589, -
73.868294)
675 2032 52
COHENS GENERAL DENTAL PLLC (40.85589, -
73.868294)
675 2032 52
WILSON DENTAL PC (42.122015, -
75.933191)
479 2033 45
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
PARIKH PRITI NIMISH DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -
73.601185)
1455 2094 6
FEYGIN LYUBOV DDS (40.85589, -
73.868294)
675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
CRABTREE ROBERT WADE III DDS (42.888143, -
78.795544)
62 2041 63
BRONX QUEENS DENTAL CARE PC (40.85589, -
73.868294)
675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -
73.950691)
809 2090 31
L'REFAUH MED & REHAB CTR.,INC (40.65642, - 809 2090 31
Page 664 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
346
93
37 176
93
93
37 176
93
646
37 176
37 27
37 27
Page 665 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JACKIE
DENTIST ELEFTHERIOS
DENTIST JOSEPH
DENTIST GILA
DENTIST STEVE
DENTIST PHIE BEE
DENTIST STEPHEN
DENTIST ELIZABETH
DENTIST LEE
DENTIST STEVEN
DENTIST MAIRE
DENTIST KEITH
DENTIST MARK
Page 666 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LAM 1689016941 1609946821 02/29/2016
GAVRIIL 1992834212 1992834212 11/18/2013
RADIX 1891848578 1578612412 09/03/2012
BEER 1700198769 1295997724 12/31/2018
SLOBODSKI 1154409530 1154409530 10/29/2012
DAI 1598738130 1184694291 07/16/2012
PERICAK 1609099126 1609099126 01/28/2013
POWELL 1730355900 1982674917 06/03/2013
TURET 1609867530 1609867530 02/18/2013
HOBSON 1679579080 1437231693 11/13/2017
LACARRIERE 1639364722 1548229958 09/09/2019
HELLER 1356640551 1366589038 07/29/2013
LIU 1013085273 1013085273 08/19/2013
Page 667 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 13601 JEFFERSON
2013 1 10460 BRONX
2011 1 11212 KINGS
2017 3 11753 NASSAU
2012 1 11204 KINGS
2011 1 10453 BRONX
2012 1 14121 ERIE
2012 1 12010 MONTGOMERY
2012 1 10467 BRONX
2016 1 10456 BRONX
2014 1 11226 KINGS
2012 1 11215 KINGS
2013 1 11373 QUEENS
Page 668 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.950691)
NORTH COUNTRY CHILDRENS CLIN (44.019295, -
75.898971)
1466 2089 41
GAVRIIL ELEFTHERIOS S (40.85589, -
73.868294)
675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -
73.950691)
809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -
73.601185)
1455 2094 6
SLOBODSKI STEVE (40.65642, -
73.950691)
809 2090 31
MORRIS HEIGHTS HEALTH CENTER (40.85589, -
73.868294)
675 2032 52
PERICAK STEPHEN (42.888143, -
78.795544)
62 2041 63
NEW DIMENSIONS IN HEALTH CARE (42.933637, -
74.341972)
1221 624 36
TURET LEE ALLAN DDS (40.85589, -
73.868294)
675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -
73.868294)
675 2032 52
METROPOLITAN DENTAL ASSOC DDS (40.65642, -
73.950691)
809 2090 31
BROOKLYN DENTAL SERVICES PC (40.65642, -
73.950691)
809 2090 31
LIU MARK ADAM DDS (40.749338, - 828 2137 11
Page 669 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
705
37 176
37 27
93
37 27
37 176
646
699
37 176
37 176
37 27
37 27
37 111
Page 670 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEVEN
DENTIST AMIN
DENTIST JUAN
DENTIST RODOLFO
DENTIST WILLIAM
DENTIST TERRI
DENTIST MAYNARD
DENTIST JOHN
DENTIST DMITRY
DENTIST TERRI
DENTIST BAHRAM
DENTIST ILEANA
DENTIST PRABHAKAR
Page 671 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RESNICK 1518982255 1164555124 02/25/2019
AYOUB 1235561788 1164555124 08/24/2020
TAVERAS 1538212287 1538212287 03/04/2013
WERT 1720147200 1720147200 11/22/2016
REYER 1861801912 1164555124 02/25/2019
BELL 1053335745 1467487637 07/05/2021
GOLDBERG 1154489367 1164555124 11/25/2019
RATHBAUER 1619990330 1164555124 08/24/2020
GORBUNOV 1508919820 1457405862 08/12/2013
BELL 1053335745 1619969458 07/02/2012
ELAAHI 1992949606 1275592693 12/07/2015
ARIAS-MUNOZ 1831300755 1306954631 12/07/2015
KOPPIKAR 1871646430 1871646430 08/18/2014
Page 672 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 10033 NEW YORK
2013 3 10033 NEW YORK
2017 2 10010 NEW YORK
2020 2 10562 WESTCHESTER
2018 3 10010 NEW YORK
2019 4 10010 NEW YORK
2013 1 11373 QUEENS
2011 1 10924 ORANGE
2014 1 11794 SUFFOLK
2014 3 11101 QUEENS
2014 1 11367 QUEENS
Page 673 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TAVERAS JUAN CARLOS DDS (40.726966, -
74.005966)
737 2095 50
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MY DENTIST PC (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.422459, -
74.241929)
1496 2134 32
DENTAL SPECIALTY ASSOC PC (40.820237, -
73.119032)
1421 2179 3
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
KOPPIKAR PRABHAKAR MURLIDHAR (40.749338, - 828 2137 11
Page 674 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 108
224
37 108
37 108
37 111
76
137
37 111
37 111
Page 675 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NURAY
DENTIST ALAN
DENTIST MYRON
DENTIST MARCI
DENTIST JOSEPH
DENTIST MARK
DENTIST GERMAIN
DENTIST SAFDAR
DENTIST KAREN
DENTIST CAROLE
DENTIST DUTRAN
DENTIST FRANK
DENTIST ARNOLD
Page 676 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OZU 1740465061 1164555124 02/25/2019
WEINER 1841365996 1316118334 10/29/2012
KLEIN 1265443675 1164555124 11/18/2019
LEVINE 1255321931 1164555124 02/18/2019
DEVINCENZO 1174636948 1467432765 04/15/2013
WOLFF 1821258336 1164555124 03/14/2016
JEAN-CHARLES 1912216789 1700943750 04/16/2018
CHADDA 1760555106 1164555124 01/06/2020
WATSON 1235282047 1235282047 02/07/2019
PIERRE 1306908025 1306908025 02/16/2015
DO 1053490961 1063426377 04/13/2020
MESA 1598931404 1598931404 02/07/2019
RAY 1114158441 1164555124 03/14/2016
Page 677 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2011 1 14304 NIAGARA
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2012 2 13617 ST.LAWRENCE
2016 1 10010 NEW YORK
2016 1 13820 OTSEGO
2018 3 10010 NEW YORK
2014 1 10601 WESTCHESTER
2014 3 11427 QUEENS
2019 3 10038 NEW YORK
2014 1 10801 WESTCHESTER
2016 1 10010 NEW YORK
Page 678 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NIAGARA QUALITY CARE DENTISTRY PC (43.134634, -
78.856419)
1107 2131 62
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (42.564852, -
75.060334)
432 2136 44
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WATSON KAREN L DDS (41.039278, -
73.805386)
1440 2185 53
PIERRE CAROLE MARIE (40.749338, -
73.789673)
828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
MESA FRANK DDS (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 679 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
835
37 108
37 108
919
37 108
529
37 108
224
37 111
37 108
224
37 108
Page 680 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FARHAD
DENTIST JUSTIN
DENTIST FRANCIS
DENTIST SALAMON
DENTIST NAMASSIVAYA
DENTIST IGOR
DENTIST SAMAR
DENTIST JAMES
DENTIST LEONARD
DENTIST QUAZI
DENTIST TEMA
DENTIST RAJINDER
DENTIST PROSPER
Page 681 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YEROSHALMI 1477611226 1679587679 01/29/2018
BEN ZVI 1477780823 1700943750 08/04/2014
TUNG 1962536987 1164555124 07/05/2021
RAFAILOV 1093987018 1093987018 12/29/2014
SUMITHRA 1245453000 1245453000 08/24/2015
KLEBANOV 1376532671 1104093814 04/24/2017
TANNOUS 1487803243 1164555124 01/06/2020
KING 1265537724 1033124961 04/06/2020
FLUG 1407858822 1164555124 03/14/2016
SATTER 1588653166 1568611721 11/11/2013
STARKMAN 1144551961 1164555124 07/31/2017
JAIN 1770668055 1164555124 02/18/2019
BONSI 1437243441 1437243441 05/14/2012
Page 682 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10038 NEW YORK
2013 1 10543 WESTCHESTER
2020 4 10010 NEW YORK
2014 1 11366 QUEENS
2014 2 12065 SARATOGA
2016 1 10040 NEW YORK
2018 3 10010 NEW YORK
2019 2 10038 NEW YORK
2016 1 10010 NEW YORK
2013 2 11373 QUEENS
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2011 1 13820 OTSEGO
Page 683 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SALAMON RAFAILOV DDS (40.749338, -
73.789673)
828 2137 11
SUMITHRA NAMASSIVAYA DDS (43.00894, -
73.786779)
1148 2141 42
IK DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TODAYS DENTAL NY PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BONSI PROSPER KOFI DMD (42.564852, - 432 2136 44
Page 684 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 111
733
37 108
37 108
37 108
37 108
37 111
37 108
37 108
529
Page 685 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LIANA
DENTIST SANDRA
DENTIST PATRICK
DENTIST ZAHRA
DENTIST JALAL
DENTIST FRANCISCO
DENTIST FABIOLA
DENTIST ANTHONY
DENTIST GARY
DENTIST JOHN
DENTIST YOEL
DENTIST JOEL
DENTIST ANNA
Page 686 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DUMITRU 1700939527 1700939527 12/20/2019
SZUSTER 1508977935 1508977935 04/22/2013
MASCARENHAS 1881737088 1497926141 10/21/2013
BAGHERI 1851710719 1164555124 07/05/2021
FATEHI 1619193521 1619193521 06/22/2015
MEJIA 1225117690 1225117690 07/20/2015
REYES 1396934915 1396934915 04/22/2013
GREEN 1972584969 1972584969 11/22/2016
HERSKOVITS 1942376389 1164555124 02/18/2019
HABIB 1427264746 1427264746 11/02/2015
MEGADESH 1982820163 1265657662 11/02/2015
SILVER 1093946717 1164555124 02/25/2019
VIRON 1548365539 1760436190 06/03/2013
Page 687 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11385 QUEENS
2012 1 11355 QUEENS
2013 1 10002 NEW YORK
2020 5 10010 NEW YORK
2015 1 10550 WESTCHESTER
2014 2 11717 SUFFOLK
2012 1 10040 NEW YORK
2012 1 11432 QUEENS
2017 2 10010 NEW YORK
2014 1 10703 WESTCHESTER
2014 1 12550 ORANGE
2017 2 10010 NEW YORK
2012 1 10001 NEW YORK
Page 688 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.060334)
DUMITRU LIANA V (40.749338, -
73.789673)
828 2137 11
SZUSTER SANDRA MARCELA DDS (40.749338, -
73.789673)
828 2137 11
TRU-DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FATEHI JALAL PC (41.039278, -
73.805386)
1440 2185 53
MEJIA FRANCISCO DDS (40.820237, -
73.119032)
1421 2179 3
REYES FABIOLA ANTILLANA (40.726966, -
74.005966)
737 2095 50
GREEN ANTHONY TREVOR DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HABIB JOHN GEORGE DDS (41.039278, -
73.805386)
1440 2185 53
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, - 737 2095 50
Page 689 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
37 108
37 108
224
137
37 108
37 111
37 108
224
76
37 108
37 108
Page 690 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BELLA
DENTIST CECILIA
DENTIST THOMAS
DENTIST MARK
DENTIST YUMI
DENTIST STEVEN
DENTIST HOWARD
DENTIST CORNELIUS
DENTIST HARPRIYA
DENTIST JOSEPH
DENTIST NAIDA
DENTIST ISABEL
DENTIST ANABELLA
Page 691 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORMATOV 1487764999 1487764999 11/02/2018
LAROCHE 1164627113 1164627113 01/04/2016
GRANDVILLE 1487949236 1609915883 06/22/2015
SCHUFMAN 1780855684 1598770018 04/27/2015
CHO 1811294457 1891968012 03/07/2016
ENGEBRETSON 1265563589 1164555124 08/24/2020
BACKER 1568663086 1164555124 08/24/2020
YEN 1881858991 1164555124 04/25/2016
SIDHU 1083835136 1669470019 07/29/2013
SIMONETTI 1003035502 1003035502 09/15/2014
HENRIQUEZ 1770645640 1467487637 08/28/2017
ULERIO-BONILLA 1346338712 1346338712 10/11/2019
OQUENDO PARILLI 1972991420 1164555124 08/31/2020
Page 692 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11375 QUEENS
2015 1 11423 QUEENS
2014 1 11776 SUFFOLK
2014 2 10014 NEW YORK
2015 1 10038 NEW YORK
2019 4 10010 NEW YORK
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10077 ROCKLAND
2014 1 11717 SUFFOLK
2015 2 10562 WESTCHESTER
2014 2 10034 NEW YORK
2019 3 10010 NEW YORK
Page 693 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NORMATOV BELLA (40.749338, -
73.789673)
828 2137 11
LAROCHE CECILIA N DDS (40.749338, -
73.789673)
828 2137 11
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
PROJECT RENEWAL (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
SIMONETTI JOSEPH ANTHONY DDS (40.820237, -
73.119032)
1421 2179 3
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
ULERIO BONILLA YSABEL DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 694 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
137
37 108
37 108
37 108
37 108
37 108
154
137
224
37 108
37 108
Page 695 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SURESH
DENTIST R
DENTIST WAYNE
DENTIST ANZHELA
DENTIST NEESHA
DENTIST KENNETH
DENTIST MARC
DENTIST SERGE
DENTIST DAVID
DENTIST AMR
DENTIST STEVEN
DENTIST TAURUS
DENTIST JANET
Page 696 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BENDALE 1073502274 1073502274 11/25/2013
KASHANI 1518091719 1972681484 10/01/2012
MAURER 1518959725 1275592693 09/09/2019
TKACHUK 1023008786 1649318601 04/13/2015
DUGGAL 1295820710 1295820710 01/12/2015
ALLEN 1902957475 1164555124 03/07/2016
FABER 1457630923 1457630923 08/12/2013
MADHERE 1073712436 1033124961 03/05/2018
GLOTZER 1881826469 1164555124 01/06/2020
MOURSI 1225188246 1164555124 03/14/2016
IZZO 1750379699 1750379699 02/03/2014
FARROW 1871935742 1669568465 06/29/2015
BOZZONE 1689737231 1467487637 08/21/2017
Page 697 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11385 QUEENS
2012 1 10952 ROCKLAND
2014 1 11109 QUEENS
2014 1 10305 RICHMOND
2014 1 12790 SULLIVAN
2016 1 10010 NEW YORK
2013 1 10019 NEW YORK
2016 1 10038 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2013 3 11385 QUEENS
2014 1 14527 YATES
2015 2 10562 WESTCHESTER
Page 698 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SURESH BENDALE DDS (40.749338, -
73.789673)
828 2137 11
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
DENTAL SPECIALTY ASSOC PC (40.749338, -
73.789673)
828 2137 11
SAND LANE DENTAL PC (40.566763, -
74.148102)
609 2139 47
DUGGAL NEESHA DDS (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FABER MARC (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
FINGER LAKES MIGRANT HLTH (42.634338, -
77.078311)
2225 58
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, - 1440 2185 53
Page 699 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
154
37 111
37 7
283
37 108
37 108
37 108
37 108
37 108
37 111
581
224
Page 700 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SHELDON
DENTIST ERIKA
DENTIST MICHELLE
DENTIST KETLY
DENTIST RIMA
DENTIST JOHN
DENTIST HANETTE
DENTIST DEMETRA
DENTIST JESAL
DENTIST LEILA
DENTIST CYNTHIA
DENTIST RAID
DENTIST ELENA
Page 701 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WINIK 1417179151 1386714228 12/16/2013
BRODKIN 1417019845 1467487637 08/20/2018
WISNIEWSKI 1649610122 1912225236 08/17/2015
NINO 1730285388 1730285388 06/09/2014
SEHL 1649401290 1164555124 02/25/2019
CALAMIA 1194963512 1164555124 11/18/2019
GOMEZ 1104907393 1104907393 02/11/2013
ATSAVES 1952503252 1295729408 07/10/2017
SHAH 1467604363 1063426377 12/05/2016
JAHANGIRI 1386792729 1164555124 07/05/2021
TSEN 1457683575 1457683575 08/19/2013
SADDA 1033100318 1164555124 03/14/2016
DAMIANO 1801007935 1164555124 04/25/2016
Page 702 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 10595 WESTCHESTER
2016 3 10562 WESTCHESTER
2015 2 13501 ONEIDA
2013 1 11432 QUEENS
2017 2 10010 NEW YORK
2018 2 10010 NEW YORK
2012 1 11368 QUEENS
2016 1 10035 NEW YORK
2015 1 10038 NEW YORK
2020 4 10010 NEW YORK
2013 1 11373 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
Page 703 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 73.805386)
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NINO KETLY (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GOMEZ HANETTE SABINA DDS (40.749338, -
73.789673)
828 2137 11
INSTITUTE FOR FAMILY HLTH (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TSEN CYNTHIA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 704 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
224
794
37 111
37 108
37 108
37 111
37 108
37 108
37 108
37 111
37 108
37 108
Page 705 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AUGUSTO
DENTIST GILA
DENTIST DEBRA
DENTIST SAMAR
DENTIST STANLEY
DENTIST LAUREN
DENTIST ROBER
DENTIST STEVEN
DENTIST HAMID
DENTIST ALFONSE
DENTIST MAILIN
DENTIST DAVID
DENTIST JUNIOR BERTHO
Page 706 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SARMIENTO 1184704702 1417924762 12/29/2014
MARCIANO 1376639773 1669470019 10/22/2012
FERRAIOLO 1942223516 1164555124 03/21/2016
TANNOUS 1487803243 1164555124 08/24/2020
WEISS 1952388522 1912071358 11/09/2015
ROTHSTEIN 1588905756 1669470019 11/16/2015
EYCKMANS 1447261128 1447261128 03/30/2015
CALLAGHAN 1184668162 1619969458 09/03/2018
RASSEKHI 1841487295 1497700736 09/25/2017
SIDHOM 1215229232 1003093436 01/11/2016
LAI 1124150461 1891968012 01/21/2013
LEE 1598010381 1063480218 04/25/2016
VERTIL 1578710752 1578710752 05/18/2015
Page 707 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 12180 RENSSELAER
2012 1 10977 ROCKLAND
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2015 1 12401 ULSTER
2014 1 10977 ROCKLAND
2014 3 10029 NEW YORK
2016 3 10977 ROCKLAND
2016 1 11692 QUEENS
2015 1 10016 NEW YORK
2012 1 10038 NEW YORK
2016 1 10950 ORANGE
2014 1 10977 ROCKLAND
Page 708 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
WHITNEY M YOUNG HEALTH CENTER (42.70098, -
73.628669)
38 2138 33
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CREATIVE DENTAL ARTS LLC (41.848374, -
74.099412)
264 2182 32
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.127287, -
74.017033)
1546 628 27
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
VERTIL BERTHO J (41.127287, - 1546 628 27
Page 709 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
40 473
154
37 108
37 108
198
154
37 108
154
37 111
37 108
37 108
76
154
Page 710 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RALPH
DENTIST MICHAEL
DENTIST HOMA
DENTIST STEPHEN
DENTIST ROBERT
DENTIST ALTAY
DENTIST RICHARD
DENTIST JOHN
DENTIST JILLIAN
DENTIST GENE
DENTIST ERIC
DENTIST BENJY
DENTIST ANTHONY
Page 711 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CUNNINGHAM 1336369461 1164555124 08/24/2020
NATHANS 1649313891 1144403734 12/29/2017
AMERI 1184751182 1184751182 07/21/2014
GELFMAN 1760590467 1679587679 08/17/2015
GOTTLIEB 1316242258 1164555124 02/18/2019
KHANMAMEDOV 1437114170 1114178795 09/23/2013
KOSOFSKY 1467675470 1164555124 03/14/2016
SALVI 1609947779 1164555124 08/24/2020
LIM 1790977346 1790977346 03/24/2014
SHERWIN 1740411222 1164555124 07/17/2017
HOLMES 1912285792 1912225236 06/12/2017
GOLDSTEIN 1760501522 1265657662 10/11/2019
PERROTTA 1093706822 1093706822 03/17/2017
Page 712 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2013 1 10543 WESTCHESTER
2014 1 11778 SUFFOLK
2014 1 11373 QUEENS
2017 2 10010 NEW YORK
2013 1 10032 NEW YORK
2016 1 10010 NEW YORK
2019 2 10010 NEW YORK
2014 1 10029 NEW YORK
2016 1 10010 NEW YORK
2016 1 14489 WAYNE
2014 1 12550 ORANGE
2012 1 11720 SUFFOLK
Page 713 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.017033)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CIRCLE FAMILY DENTAL PC (41.039278, -
73.805386)
1440 2185 53
AMERI HOMA (40.820237, -
73.119032)
1421 2179 3
JACOBI MEDICAL CENTER (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LIM JILLIAN DMD (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.144336, -
77.117995)
318 631 54
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
PERROTTA ANTHONY J DDS (40.820237, - 1421 2179 3
Page 714 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
137
37 111
37 108
37 108
37 108
37 108
37 108
37 108
809
76
137
Page 715 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEPHEN
DENTIST ANALIA
DENTIST CRISTINA
DENTIST WILLIAM
DENTIST NICHOLAS
DENTIST FLORENCE
DENTIST MAGED
DENTIST DEBRA
DENTIST JOAN
DENTIST HARPREET
DENTIST NANCY
DENTIST MARGARITA
DENTIST JOHN
Page 716 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LASKY 1538158290 1538158290 01/18/2019
KEENAN 1801979950 1164555124 07/05/2021
GEORGESCU 1487897179 1053482067 05/29/2017
HURWITZ 1811168867 1164555124 02/18/2019
SCHELLATI 1871735894 1669777389 01/02/2020
TEMBA 1659381820 1124032982 09/27/2021
ISKAROS 1023177227 1164555124 08/17/2020
FISCHOFF 1366847329 1164555124 03/21/2016
KORINS 1932271731 1053482067 12/01/2014
TIWANA 1679722078 1912225236 02/17/2014
JIMENEZ 1124179452 1124179452 12/16/2013
PEREZ 1285694513 1578697066 07/15/2013
COMO 1649304718 1164555124 04/25/2016
Page 717 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10310 RICHMOND
2020 4 10010 NEW YORK
2016 1 11794 SUFFOLK
2017 2 10010 NEW YORK
2014 1 14564 ONTARIO
2021 3 10038 NEW YORK
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 11794 SUFFOLK
2012 1 13501 ONEIDA
2013 1 10034 NEW YORK
2012 1 11368 QUEENS
2016 1 10010 NEW YORK
Page 718 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
LASKY STEPHEN G DDS (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NICHOLAS J SCHELLATI DDS PLLC (42.894571, -
77.252045)
178 2133 54
CONEY ISLAND HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
JIMENEZ-FAMILY DENTAL P C (40.726966, -
74.005966)
737 2095 50
MOTA MARTINEZ M DENTIST PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 719 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 7
37 108
137
37 108
691
37 108
37 108
37 108
137
794
37 108
37 111
37 108
Page 720 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WON SANG
DENTIST IGOR
DENTIST OLIVIER
DENTIST LYDIA
DENTIST ILEANA
DENTIST RUTH
DENTIST STUART
DENTIST OLEG
DENTIST WILLIAM
DENTIST ANDERSON
DENTIST HANIEL
DENTIST ANDREW
DENTIST YON
Page 721 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE 1386952687 1265707491 11/02/2015
CHIKUNOV 1386760338 1164555124 08/24/2020
NICOLAY 1073863015 1164555124 02/25/2019
GARDNER 1396039293 1275592693 12/07/2015
ARIAS-MUNOZ 1831300755 1306954631 08/14/2017
ALVEAR 1932314739 1932314739 07/08/2016
HIRSCH 1760606222 1164555124 02/18/2019
NEKTALOV 1780815894 1780815894 08/05/2013
PERUSO 1093897969 1720160690 09/23/2013
HUANG 1306947825 1164555124 08/24/2020
ROSEMOND 1205040755 1164555124 07/17/2017
LAM 1639198906 1851328199 08/27/2012
LAI 1487856522 1841499928 08/26/2013
Page 722 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11784 SUFFOLK
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2014 1 10038 NEW YORK
2015 4 11375 QUEENS
2012 1 11377 QUEENS
2017 2 10010 NEW YORK
2013 1 11374 QUEENS
2013 1 11722 SUFFOLK
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2011 1 10025 NEW YORK
2013 1 10038 NEW YORK
Page 723 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
GREAT EXPRESSIONS DENTAL OF (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
ALVEAR DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEKTALOV OLEG (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
YON H LAI DDS PC (40.726966, - 737 2095 50
Page 724 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 108
37 108
37 111
37 111
37 108
37 111
137
37 108
37 108
37 108
37 108
Page 725 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MICHELLE
DENTIST SEUNG-HEE
DENTIST SAT KARTAR
DENTIST GREGORY
DENTIST ARNOLD
DENTIST ANGELA
DENTIST AMANDEEP
DENTIST PETER
DENTIST LAWRENCE
DENTIST GEORGE
DENTIST FARHAD
DENTIST MARK
DENTIST LEONID
Page 726 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WITTER 1346408184 1306898432 01/11/2016
RHEE 1487675963 1164555124 11/25/2019
KHALSA 1427257971 1295729408 06/25/2012
BROWNE 1942327614 1164555124 02/18/2019
POLLIKOFF 1053543629 1164555124 02/25/2019
KAMER 1437410842 1164555124 07/05/2021
ARORA 1396736310 1497866933 12/17/2012
MYCHAJLIW 1912062431 1164555124 01/20/2020
HIRSCH 1073595534 1073595534 09/06/2018
CISNEROS 1528104825 1164555124 07/05/2021
AZIZZADEH 1588648828 1588648828 12/02/2013
HYMAN 1053426270 1689669079 06/06/2016
REZNIK 1346447307 1346447307 06/03/2013
Page 727 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10011 NEW YORK
2018 3 10010 NEW YORK
2011 1 12401 ULSTER
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 13502 ONEIDA
2018 3 10010 NEW YORK
2013 1 11374 QUEENS
2020 2 10010 NEW YORK
2013 1 11429 QUEENS
2015 1 12518 ORANGE
2012 1 11798 SUFFOLK
Page 728 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMANDEEP ARORA DDS PC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HIRSCH LAWRENCE M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AZIZZADEH FARHAD DDS (40.749338, -
73.789673)
828 2137 11
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
REZNIK LEONID (40.820237, - 1421 2179 3
Page 729 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
198
37 108
37 108
37 108
794
37 108
37 111
37 108
37 111
76
137
Page 730 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARINA
DENTIST LOREANE
DENTIST BRUCE
DENTIST EUGENE
DENTIST MARIA
DENTIST DAVID
DENTIST AARON
DENTIST SHAHIN
DENTIST OLGA
DENTIST JUANA
DENTIST MARIA
DENTIST MICHAEL
DENTIST LINDA
Page 731 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHRAGA 1023227642 1023227642 01/18/2019
ENGELHARDT 1639297823 1891240784 04/08/2019
POMERANTZ 1982730107 1144273996 09/08/2014
BASS 1730108580 1164555124 11/25/2019
LUCIA 1740358175 1740358175 06/16/2021
SIROIS 1528128170 1164555124 02/25/2019
SOEPRONO 1275610255 1164555124 12/23/2019
RAHMANIAN 1952564916 1952564916 12/15/2014
ZAVULUNOVA 1396817664 1396817664 05/01/2017
MEDINA 1760532303 1760532303 07/25/2016
SALES 1639367840 1497700736 08/26/2013
FERGUSON 1639227424 1164555124 03/14/2016
ROSENBERG 1134329568 1164555124 03/07/2016
Page 732 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11416 QUEENS
2017 4 11722 SUFFOLK
2013 2 11787 SUFFOLK
2018 3 10010 NEW YORK
2017 4 13088 ONONDAGA
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 11421 QUEENS
2013 1 11374 QUEENS
2012 1 11416 QUEENS
2012 1 11692 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
Page 733 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
SHRAGA MARINA DDS (40.749338, -
73.789673)
828 2137 11
LISH INC (40.820237, -
73.119032)
1421 2179 3
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAHMANIAN SHAHIN DDS (40.749338, -
73.789673)
828 2137 11
ZAVULUNOVA OLGA DDS (40.749338, -
73.789673)
828 2137 11
COLLADO-MEDINA JUANA X DDS (40.749338, -
73.789673)
828 2137 11
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 734 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
137
137
37 108
755
37 108
37 108
37 111
37 111
37 111
37 111
37 108
37 108
Page 735 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LYDIA
DENTIST OLANIYI
DENTIST BAHN YAH
DENTIST ANDREW
DENTIST BERNARD
DENTIST GABRIEL
DENTIST NORMAN
DENTIST MIQUELLE
DENTIST MICHAEL
DENTIST MARIA
DENTIST JENNIFER
DENTIST ROSS
DENTIST QUAZI
Page 736 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GARDNER 1396039293 1275592693 09/09/2019
EPEMOLU 1588698419 1619969458 03/12/2018
MOON 1053614263 1275592693 09/09/2019
BOYD 1225325830 1164555124 02/18/2019
SHAKTER 1356420723 1801803903 05/09/2016
FULOP 1871587196 1164555124 01/06/2020
SORKIN 1518016153 1164555124 01/06/2020
PATTERSON 1659565810 1215978960 08/06/2012
DARLING 1952306094 1952306094 05/01/2017
ACEBO 1659585990 1659585990 09/24/2012
YOON 1407978836 1851328199 12/10/2012
PHIPPEN 1104154111 1669568465 08/20/2018
SATTER 1588653166 1568611721 02/09/2017
Page 737 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10038 NEW YORK
2016 3 10566 WESTCHESTER
2014 1 10065 NEW YORK
2017 2 10010 NEW YORK
2015 1 10038 NEW YORK
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2011 1 10036 NEW YORK
2013 2 13208 ONONDAGA
2012 1 11368 QUEENS
2011 1 10025 NEW YORK
2016 1 14527 YATES
2013 2 11373 QUEENS
Page 738 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RYAN/CHELSEA CLINTON COMM H C (40.726966, -
74.005966)
737 2095 50
DARLING MICHAEL JAMES DDM (43.065629, -
76.168033)
713 2132 43
ACEBO MARIA E DDS (40.749338, -
73.789673)
828 2137 11
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (42.634338, -
77.078311)
2225 58
TODAYS DENTAL NY PC (40.749338, - 828 2137 11
Page 739 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 108
37 108
37 108
37 108
37 108
755
37 111
37 108
581
37 111
Page 740 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IAN
DENTIST LAWRENCE
DENTIST ANTHONY
DENTIST JOANA
DENTIST OLGA
DENTIST WILLIAM
DENTIST ALVINA
DENTIST JUAN
DENTIST HEIDI
DENTIST JUAN
DENTIST JENNIFER
DENTIST LUZ
DENTIST SEUNG-HEE
Page 741 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOBLER 1477712149 1477712149 11/11/2013
FEDER 1568512267 1528306370 12/07/2015
MENDICINO 1699876730 1669568465 09/02/2013
FORSEA 1417368283 1164555124 02/18/2019
GRANT 1871809269 1669470019 01/14/2013
BEHRBOM 1699912246 1497926141 10/21/2013
LIM 1770775991 1699076083 10/06/2017
DE FEX 1821052317 1821052317 09/11/2017
HANSEN 1063655967 1952332801 02/25/2019
ESPAILLAT 1194715425 1194715425 10/07/2013
GIBBS 1093971210 1164555124 02/18/2019
FILION 1548259120 1548259120 10/07/2013
RHEE 1487675963 1164555124 07/31/2017
Page 742 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10956 ROCKLAND
2015 1 10009 NEW YORK
2012 1 14551 WAYNE
2017 2 10010 NEW YORK
2012 1 10977 ROCKLAND
2013 1 11746 SUFFOLK
2013 1 10128 NEW YORK
2015 3 11372 QUEENS
2017 5 10032 NEW YORK
2013 1 10027 NEW YORK
2017 2 10010 NEW YORK
2013 2 11372 QUEENS
2016 1 10010 NEW YORK
Page 743 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
SOBLER IAN D DDS (41.127287, -
74.017033)
1546 628 27
DR LAWRENCE FEDER (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (43.144336, -
77.117995)
318 631 54
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
TRU-DENTAL PC (40.820237, -
73.119032)
1421 2179 3
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
ESPAILLAT JUAN DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FILION LUZ A DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 744 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 108
809
37 108
154
137
37 108
37 111
37 108
37 108
37 108
37 111
37 108
Page 745 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LUCY
DENTIST URSZULA
DENTIST ANDRE
DENTIST HERBERT
DENTIST RONEN
DENTIST MEA
DENTIST SONAL
DENTIST NURAY
DENTIST ALISSA
DENTIST AN
DENTIST CHARLES
DENTIST MOHAMMED
DENTIST CLAUDIA
Page 746 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRONCOSO 1144548280 1164555124 03/21/2016
KOROL 1417170630 1164555124 08/24/2020
MONTAZEM 1740242437 1063426377 02/08/2021
FENTON 1023148145 1265657662 11/02/2015
OSINSKY 1649257072 1063480218 04/20/2015
WEINBERG 1568594976 1164555124 08/24/2020
SHAH 1265620181 1164555124 03/21/2016
OZU 1740465061 1164555124 08/24/2020
SELEVAN 1730443250 1063480218 04/20/2015
NGUYEN 1578896676 1265707491 01/11/2016
NEIDORFF 1689826455 1164555124 03/21/2016
SHAHABUDDIN 1245229210 1982880159 01/12/2015
LOZANO 1629306931 1467487637 03/12/2012
Page 747 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2020 5 10038 NEW YORK
2014 1 10549 WESTCHESTER
2014 2 10950 ORANGE
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2014 2 10950 ORANGE
2015 1 12754 SULLIVAN
2016 1 10010 NEW YORK
2014 3 11106 QUEENS
2011 1 10562 WESTCHESTER
Page 748 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
BENJY GOLDSTEIN GEORGE FREUD (41.039278, -
73.805386)
1440 2185 53
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MOHAMMED SHAHABUDDIN DENTAL PC (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, - 1440 2185 53
Page 749 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
224
76
37 108
37 108
37 108
76
283
37 108
37 111
224
Page 750 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST OLANIYI
DENTIST THERESE
DENTIST DAVID
DENTIST SAMUEL
DENTIST YING
DENTIST KHAIM
DENTIST KONSTANTINE
DENTIST MILES
DENTIST THOMAS
DENTIST SOO JIN
DENTIST AMIT
DENTIST JANET
DENTIST ALAN
Page 751 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EPEMOLU 1588698419 1619969458 08/28/2017
KHALIL 1962491696 1962491696 03/24/2014
SIROIS 1528128170 1164555124 03/21/2016
KRAMER 1497811699 1164555124 08/24/2020
WONG 1144311390 1164555124 08/17/2020
KALANTAROV 1417173683 1417173683 05/17/2017
MALAFIS 1699765784 1699765784 08/11/2014
SCHEFFER 1508981770 1669470019 10/29/2012
MORALES 1467688861 1689669079 09/02/2013
CHANG 1396079794 1396079794 07/01/2013
PATEL 1700218120 1669470019 04/26/2021
BODEY 1568504538 1528201613 11/20/2017
BAUER 1396754974 1396754974 02/17/2014
Page 752 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 2 10566 WESTCHESTER
2013 1 10314 RICHMOND
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 11375 QUEENS
2014 1 11105 QUEENS
2012 1 10977 ROCKLAND
2012 1 12550 ORANGE
2012 1 11372 QUEENS
2020 3 10977 ROCKLAND
2013 1 10032 NEW YORK
2013 1 12550 ORANGE
Page 753 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 73.805386)
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
KHALIL THERESE N DDS (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KALANTAROV KHAIM (40.749338, -
73.789673)
828 2137 11
MALAFIS KONSTANTINE DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
CHANG SOO JIN (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
MANHATTAN ORAL FACIAL SURGERY LLC (40.726966, -
74.005966)
737 2095 50
BAUER ALAN J DMD (41.422459, - 1496 2134 32
Page 754 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 7
37 108
37 108
37 108
37 111
37 111
154
76
37 111
154
37 108
76
Page 755 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LISA
DENTIST TAUSEEL
DENTIST STEPHEN
DENTIST KWI
DENTIST CURTIS
DENTIST YING
DENTIST ROBERT
DENTIST BARUCH
DENTIST LEYLA
DENTIST NATALYA
DENTIST AMIT
DENTIST NANDOR
DENTIST ROBERT
Page 756 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ANTONOFF 1457354417 1164555124 04/25/2016
KHAN 1255471389 1669470019 09/14/2020
GELFMAN 1760590467 1679587679 10/04/2021
LEE 1730494691 1508850280 12/07/2015
JOHNSON 1942303300 1942303300 04/21/2014
WONG 1144311390 1164555124 02/25/2019
GUREASKO 1134337389 1164555124 07/05/2021
LIFSHITZ 1487678546 1487678546 01/27/2014
ESCUDERO 1033190855 1033190855 12/22/2014
ORLOVA 1215141981 1215141981 01/21/2013
SOOD 1578771317 1578771317 09/23/2013
HALPERT 1447240064 1447398334 04/13/2015
HOROWITZ 1316029614 1164555124 04/25/2016
Page 757 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10016 NEW YORK
2019 3 10977 ROCKLAND
2021 4 10038 NEW YORK
2014 1 13142 OSWEGO
2013 2 11369 QUEENS
2017 2 10010 NEW YORK
2020 5 10010 NEW YORK
2013 1 10901 ROCKLAND
2014 1 11373 QUEENS
2012 1 10034 NEW YORK
2013 1 17479 QUEENS
2014 1 11379 QUEENS
2016 1 10010 NEW YORK
Page 758 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.241929)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -
76.31133)
623 2135 41
JOHNSON CURTIS M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LIFSHITZ BARUCH B DDS (41.127287, -
74.017033)
1546 628 27
ESCUDERO LEYLA DDS (40.749338, -
73.789673)
828 2137 11
ORLOVA NATALYA DDS (40.726966, -
74.005966)
737 2095 50
SOOD AMIT DDS (40.749338, -
73.789673)
828 2137 11
MIDDLE VILLAGE DENTAL GROUP LLP (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 759 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
154
37 108
533
37 111
37 108
37 108
154
37 111
37 108
37 111
37 111
37 108
Page 760 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DEBRA
DENTIST STANLEY
DENTIST FLORA
DENTIST HAROLD
DENTIST NIDAL
DENTIST STEVEN
DENTIST DUTRAN
DENTIST ROSEMARIE
DENTIST SONAL
DENTIST BENJAMIN
DENTIST HOOMAN
DENTIST STEVEN
DENTIST RONALD
Page 761 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FERRAIOLO 1942223516 1164555124 08/31/2020
GERSCH 1235205923 1164555124 07/31/2017
MOUNESSA 1326007667 1326007667 10/19/2018
STRAUSS 1427265644 1164555124 02/25/2019
SALAMEH 1043691157 1932453172 10/08/2018
WEISS 1962570978 1962570978 09/15/2014
DO 1053490961 1063426377 01/11/2021
HOW 1477607976 1679587679 03/05/2018
SHAH 1265620181 1164555124 11/18/2019
GODDER 1871713610 1164555124 07/05/2021
NEMAN 1548388317 1548388317 03/01/2019
NADLER 1346598612 1063480218 03/26/2018
SCHWARTZ 1861437014 1356457303 04/30/2018
Page 762 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 11423 QUEENS
2017 2 10010 NEW YORK
2017 2 10029 NEW YORK
2014 1 11106 QUEENS
2020 4 10038 NEW YORK
2016 1 10038 NEW YORK
2018 3 10010 NEW YORK
2020 5 10010 NEW YORK
2014 2 11372 QUEENS
2015 3 10950 ORANGE
2016 2 14301 NIAGARA
Page 763 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MOUNESSA FLORA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
P & R EXECUTIVE DENTAL MANAGEMENT (40.726966, -
74.005966)
737 2095 50
WEISS STEVEN (40.749338, -
73.789673)
828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEMAN HOOMAN M DDS (40.749338, -
73.789673)
828 2137 11
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
SCHWARTZ & GEDEON DDS PC (43.134634, - 1107 2131 62
Page 764 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
37 111
37 108
37 108
37 108
37 108
37 111
76
835
Page 765 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEFFREY
DENTIST DAVID
DENTIST REUVEN
DENTIST MARC
DENTIST DAVID
DENTIST PAUL
DENTIST ANDREW
DENTIST MELVIN
DENTIST COSMO
DENTIST ARTHUR
DENTIST CRISTINA
DENTIST JOEL
DENTIST RORY
Page 766 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KORENMAN 1366405334 1124334826 10/01/2012
TARRAB 1164802575 1164555124 03/14/2016
MOHL 1114916277 1073767380 02/09/2017
BIENENSTOCK 1316940158 1316940158 02/11/2013
TARRAB 1164802575 1164555124 11/25/2019
COHEN 1043201759 1548229958 09/07/2015
LAM 1639198906 1851328199 10/07/2013
VELAZQUEZ 1336290402 1912168006 05/27/2013
DESTENO 1518920727 1164555124 09/14/2020
GOREN 1518114438 1164555124 04/25/2016
CONSTANTINESCU 1952466906 1952466906 01/22/2018
SILVER 1093946717 1164555124 11/18/2019
OGDEN 1477952166 1396711982 05/02/2016
Page 767 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10027 NEW YORK
2016 1 10010 NEW YORK
2013 1 10024 NEW YORK
2012 1 11368 QUEENS
2018 3 10010 NEW YORK
2014 1 10007 NEW YORK
2013 2 10025 NEW YORK
2012 1 11377 QUEENS
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11423 QUEENS
2018 3 10010 NEW YORK
2015 1 12307 SCHENECTADY
Page 768 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
78.856419)
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WEST SIDE GENTAL DENTAL PC (40.726966, -
74.005966)
737 2095 50
BIENENSTOCK MARC I DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
VELAZQUEZ-MONTES DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CONSTANTINESCU CRISTINA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, - 74 2142 42
Page 769 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
37 108
37 108
37 108
37 111
37 108
37 108
37 111
37 108
617
Page 770 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOONKYU
DENTIST BILU
DENTIST VICTOR
DENTIST NAIDA
DENTIST HOWARD
DENTIST NORIS
DENTIST BENJAMIN
DENTIST LAURA
DENTIST STEVEN
DENTIST JONATHAN
DENTIST MICHAEL
DENTIST MATHEW
DENTIST LYUBOV
Page 771 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HWANG 1508918541 1497926141 10/21/2013
MATHEW 1366589954 1730194408 12/10/2012
TRONCOSO 1275668113 1275668113 02/25/2013
HENRIQUEZ 1770645640 1467487637 03/12/2018
WEINER 1467458547 1164555124 08/24/2020
CARRASCO 1487742276 1487742276 12/08/2017
GODDER 1871713610 1164555124 03/07/2016
MANZO 1801958277 1467487637 03/26/2018
SCHWARTZ 1235357617 1053482067 03/30/2015
FRIEDMAN 1114360179 1427098227 05/02/2016
KAMPOURAKIS 1750555991 1164555124 02/18/2019
GEORGE 1164564308 1548229958 09/09/2019
MASHKABOVA 1528066339 1497700736 04/25/2016
Page 772 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10940 ORANGE
2012 1 11787 SUFFOLK
2012 1 10705 WESTCHESTER
2016 3 10562 WESTCHESTER
2019 3 10010 NEW YORK
2013 1 11103 QUEENS
2016 1 10010 NEW YORK
2016 3 10562 WESTCHESTER
2014 1 11794 SUFFOLK
2015 1 11691 QUEENS
2017 2 10010 NEW YORK
2014 1 12550 ORANGE
2016 1 11692 QUEENS
Page 773 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.946838)
TRU-DENTAL PC (41.422459, -
74.241929)
1496 2134 32
ADULTS & CHILDREN W/LDD,INC (40.820237, -
73.119032)
1421 2179 3
TRONCOSO VICTOR G DDS (41.039278, -
73.805386)
1440 2185 53
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CARRASCO NORIS A DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
L'REFAUH MED & REHAB CTR.,INC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (41.422459, -
74.241929)
1496 2134 32
JOSEPH P ADDABBO FAMILY HLTH (40.749338, - 828 2137 11
Page 774 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
137
224
224
37 108
37 111
37 108
224
137
37 111
37 108
76
37 111
Page 775 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARY
DENTIST JOSEPH
DENTIST MICHELLE
DENTIST JENNIFER
DENTIST YEHUDA
DENTIST THOMAS
DENTIST DORA MARIA
DENTIST GENE
DENTIST ROYA
DENTIST LYDIA
DENTIST CHANNA
DENTIST OPAL
DENTIST AMY
Page 776 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VARGHESE 1760474753 1548208127 03/05/2018
CINQUEMANI 1063493203 1194967729 12/05/2016
HAGHPANAH 1154555894 1699076083 11/18/2013
ORTIZ 1538442017 1396711982 06/25/2012
MARCIANO 1558780445 1053482067 09/04/2017
PRAY 1114138062 1114138062 09/24/2012
OGANDO-PALERMO 1417026196 1396736120 06/04/2012
FANG 1942397740 1942397740 03/18/2013
AFSHAR-MOHAJER 1740327675 1164555124 02/18/2019
JOFFE 1992926745 1609048644 10/07/2013
JAYATILAKA 1063612810 1720160690 11/02/2015
GOODRIDGE 1891102034 1548208127 01/08/2018
TRUESDALE 1114250628 1164555124 08/17/2020
Page 777 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10038 NEW YORK
2016 1 11743 SUFFOLK
2013 1 10128 NEW YORK
2011 1 12307 SCHENECTADY
2016 1 11784 SUFFOLK
2012 1 12020 SARATOGA
2011 1 10040 NEW YORK
2012 1 11354 QUEENS
2017 2 10010 NEW YORK
2013 1 10036 NEW YORK
2014 2 11722 SUFFOLK
2015 1 10038 NEW YORK
2019 3 10010 NEW YORK
Page 778 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -
74.005966)
737 2095 50
CINQUEMANI & LEIBOWITZ D D S P C (40.820237, -
73.119032)
1421 2179 3
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
PRAY THOMAS J DDS (43.00894, -
73.786779)
1148 2141 42
MT VERNON NEIGH HLTH CTR INC (40.726966, -
74.005966)
737 2095 50
FANG GENE STEVEN DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MANHATTAN AVEUNE FAMILY DENTAL
PLLC
(40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 779 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
37 108
617
137
733
37 108
37 111
37 108
37 108
137
37 108
37 108
Page 780 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BENN
DENTIST BARBARA
DENTIST ALLAN
DENTIST LOURDES
DENTIST YASMI
DENTIST MEENAKSHI
DENTIST GEORGE
DENTIST FABIOLA
DENTIST YVES
DENTIST ROGER
DENTIST DANIEL
DENTIST EMMANUELA
DENTIST ROBERT
Page 781 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIEBERMAN 1255489977 1679587679 09/27/2021
SLASKA 1306053533 1164555124 03/07/2016
GRAYSON 1598887440 1164555124 02/18/2019
ALBANDOZ 1538316385 1538316385 05/14/2018
CRYSTAL 1215957014 1164555124 02/18/2019
MADHU 1316268204 1033124961 05/09/2016
WILLIAMS 1710187091 1710187091 06/26/2017
MILORD 1295728913 1164555124 12/23/2019
CONTE 1073615894 1073615894 10/11/2021
WARREN 1396732293 1164555124 12/23/2019
TAVELINSKY 1831319268 1669470019 08/31/2020
MENA 1730234154 1730234154 02/26/2019
SCHULSINGER 1780695049 1619969458 03/05/2018
Page 782 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2021 5 10038 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2016 2 11368 QUEENS
2017 2 10010 NEW YORK
2015 1 10038 NEW YORK
2013 1 10031 NEW YORK
2018 2 10010 NEW YORK
2021 5 11432 QUEENS
2018 3 10010 NEW YORK
2019 2 10567 WESTCHESTER
2014 2 10033 NEW YORK
2015 2 10566 WESTCHESTER
Page 783 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
WILLIAMS GEORGE A JR DMD (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CONTE YVES DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.039278, -
73.805386)
1440 2185 53
MENA EMMANUELA DDS (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, - 1440 2185 53
Page 784 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
37 108
37 108
37 108
37 108
37 111
37 108
224
37 108
224
Page 785 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHIA-JUNG
DENTIST ROBERT
DENTIST KEVIN
DENTIST BLANCA
DENTIST WILLIAM
DENTIST JEFFREY
DENTIST RUPESH
DENTIST DAVID
DENTIST ARNOLD
DENTIST JAMES
DENTIST IRINA
DENTIST KALMEN
DENTIST DAVID
Page 786 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHEN 1982654950 1376600551 03/25/2013
GEDEON 1538257001 1356457303 01/07/2019
WALTROUS 1558439307 1245498500 05/20/2021
BORBOA 1003932583 1700911682 03/12/2019
ESTEVEZ 1780725002 1780725002 07/25/2016
FONG 1790076735 1790076735 10/23/2017
SINGLA 1437210382 1437210382 12/23/2013
JAKUBOWITZ 1326184771 1326184771 04/01/2013
LIEBMAN 1609960525 1164555124 02/25/2019
LOPRESTI 1699825448 1164555124 01/06/2020
VATRENKO 1255476891 1255476891 08/17/2015
EINBINDER 1316087091 1427063270 08/10/2015
LEVENSON 1497959837 1164555124 02/18/2019
Page 787 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10303 RICHMOND
2017 3 14301 NIAGARA
2014 1 10128 NEW YORK
2014 1 11429 QUEENS
2012 1 10032 NEW YORK
2016 1 10901 ROCKLAND
2013 1 10011 NEW YORK
2012 1 11385 QUEENS
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2015 1 10002 NEW YORK
2014 1 10022 NEW YORK
2017 2 10010 NEW YORK
Page 788 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.805386)
UCP ASSO OF NYS STATEN IS (40.566763, -
74.148102)
609 2139 47
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
FIRST ALERT DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
ESTEVEZ WILLIAM D DDS (40.726966, -
74.005966)
737 2095 50
FONG JEFFREY H (41.127287, -
74.017033)
1546 628 27
SINGLA RUPESH KUMAR DMD (40.726966, -
74.005966)
737 2095 50
JAKUBOWITZ DAVID DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
VATRENKO IRINA DDS (40.726966, -
74.005966)
737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 789 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 7
835
37 108
37 111
37 108
154
37 108
37 111
37 108
37 108
37 108
37 108
37 108
Page 790 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST BELKIS
DENTIST IVETTE
DENTIST BASSEL
DENTIST HANNAH
DENTIST SURESH
DENTIST JOEL
DENTIST MI SUN
DENTIST PETER
DENTIST JAVIER
DENTIST ROSETTE
DENTIST LUCRETIA
DENTIST KELI
Page 791 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SERINO 1487793642 1609915883 06/22/2015
DURAN 1396956736 1396956736 02/11/2013
FERREIRA 1184636342 1184636342 08/24/2015
HADDAD 1740602986 1669470019 11/16/2015
HAN 1487933024 1013924372 03/05/2018
VAKHARIA 1467402107 1467402107 02/09/2017
FRIEDMAN 1316945926 1952332801 02/05/2018
LEE 1942540976 1265707491 03/13/2017
GENCO 1659587970 1659587970 09/14/2015
SAMUDIO 1679534895 1679534895 06/10/2013
IMANI 1760521405 1760521405 08/05/2013
DEPAOLA-CEFOLA 1225133010 1164555124 02/18/2019
HOLLIS 1487885505 1467432765 08/21/2017
Page 792 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11776 SUFFOLK
2012 1 10705 WESTCHESTER
2012 1 11372 QUEENS
2014 1 10977 ROCKLAND
2016 1 10038 NEW YORK
2012 1 10031 NEW YORK
2015 3 10032 NEW YORK
2015 1 11704 SUFFOLK
2015 1 12779 SULLIVAN
2012 1 11691 QUEENS
2013 1 11342 NEW YORK
2017 2 10010 NEW YORK
2015 4 13617 ST.LAWRENCE
Page 793 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
DURAN BELKIS E DDS (41.039278, -
73.805386)
1440 2185 53
FERREIRA IVETTE DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
VAKHARIA SURESH V (40.726966, -
74.005966)
737 2095 50
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (40.820237, -
73.119032)
1421 2179 3
GENCO PETER DMD (41.705166, -
74.711705)
1024 2180 32
SAMUDIO JAVIER A DDS (40.749338, -
73.789673)
828 2137 11
IMANI ROSETTE (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, - 1581 2140 41
Page 794 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
224
37 111
154
37 108
37 108
37 108
137
283
37 111
37 108
37 108
919
Page 795 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KAUSHIK
DENTIST CHANNA
DENTIST PANNA
DENTIST TANIA
DENTIST MICHAEL
DENTIST ALEXI
DENTIST HYOSOL
DENTIST JUNG-HUN
DENTIST SCOTT
DENTIST DOINA
DENTIST ARNOLD
DENTIST MAGED
DENTIST JOSEPH
Page 796 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHAKHAR 1871500439 1871500439 05/01/2017
JAYATILAKA 1063612810 1720160690 05/20/2016
HOWIL 1316013048 1700943750 08/04/2014
ROHANY 1548487663 1548487663 03/31/2014
SHERMAN 1245323559 1245323559 11/11/2013
DAMASCUS 1477837128 1669470019 01/14/2013
YANG 1205007119 1821045485 07/17/2017
KIM 1568518066 1568518066 08/12/2013
GOLDSTEIN 1164567624 1164567624 07/28/2014
AGBARY 1295826246 1295826246 02/09/2017
LIEBMAN 1609960525 1164555124 03/21/2016
ISKAROS 1023177227 1164555124 03/14/2016
KUMAR 1508874884 1619969458 04/23/2018
Page 797 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11104 QUEENS
2014 2 11722 SUFFOLK
2013 1 10543 WESTCHESTER
2013 1 10032 NEW YORK
2013 1 11706 SUFFOLK
2012 1 10977 ROCKLAND
2016 1 11433 QUEENS
2013 1 10001 NEW YORK
2014 1 11763 SUFFOLK
2013 1 11423 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2015 2 10566 WESTCHESTER
Page 798 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.242045)
KHAKHAR KAUSHIK P DDS (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
ROHANY TANIA DDS (40.726966, -
74.005966)
737 2095 50
SHERMAN MICHAEL L DDS (40.820237, -
73.119032)
1421 2179 3
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
MEDISYS FAMILY CARE (40.749338, -
73.789673)
828 2137 11
KIM JUNG-HUN DDS (40.726966, -
74.005966)
737 2095 50
GOLDSTEIN SCOTT LOUIS (40.820237, -
73.119032)
1421 2179 3
AGBARY DOINA GABRIELA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, - 1440 2185 53
Page 799 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
137
224
37 108
137
154
37 111
37 108
137
37 111
37 108
37 108
224
Page 800 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JANET
DENTIST JEFFREY
DENTIST JAMES
DENTIST BENJAMIN
DENTIST LUMINITA
DENTIST MARIE
DENTIST JOSE
DENTIST MAX
DENTIST ROBERT
DENTIST MARTINE
DENTIST JEFFREY
DENTIST PATRICIA
DENTIST LEIGH
Page 801 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BOZZONE 1689737231 1467487637 08/19/2019
BLYE 1912138603 1164555124 02/18/2019
DEBONIS 1982614228 1982614228 11/16/2015
GEISLER 1477893311 1467487637 06/13/2016
SCHIOP 1639235385 1679587679 08/28/2017
CONGIUSTA 1013305713 1164555124 03/21/2016
DE LEON 1396735411 1477762375 01/28/2013
ANNISE 1518926930 1548229958 09/09/2019
BRUNO 1487678793 1487678793 12/15/2017
MANDRACCHIA 1326372962 1164555124 03/14/2016
MARGOLIN 1376663674 1164555124 03/21/2016
SEAGRIFF-CURTIN 1114093630 1386714228 04/23/2018
BUSCH 1366519993 1164555124 03/21/2016
Page 802 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 5 10562 WESTCHESTER
2017 2 10010 NEW YORK
2015 1 12180 RENSSELAER
2015 1 10562 WESTCHESTER
2016 1 10038 NEW YORK
2016 1 10010 NEW YORK
2012 1 10002 NEW YORK
2014 1 10007 NEW YORK
2013 1 11377 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2016 5 10595 WESTCHESTER
2016 1 10010 NEW YORK
Page 803 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.805386)
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DEBONIS JAMES M DMD (42.70098, -
73.628669)
38 2138 33
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ESSEX DENTAL OFFICE P C (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
BRUNO ROBERT W DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 804 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 108
40 473
224
37 108
37 108
37 108
37 108
37 111
37 108
37 108
224
37 108
Page 805 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARELYS
DENTIST PHILIP
DENTIST CHARLES
DENTIST GABRIEL
DENTIST RAJINDER
DENTIST ALKA
DENTIST KENNETH
DENTIST ALI
DENTIST ROZALIYA
DENTIST JOSE
DENTIST LEONARD
DENTIST PETER
DENTIST NAMASSIVAYA
Page 806 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANTANA 1679547376 1679547376 05/13/2013
BUCCIGROSSI 1134136823 1164555124 08/17/2020
NEIDORFF 1689826455 1164555124 08/24/2020
FULOP 1871587196 1164555124 02/18/2019
JAIN 1770668055 1164555124 08/24/2020
PATEL 1760544001 1467487637 03/12/2012
FLEISHER 1275612970 1164555124 03/14/2016
PAYAMI 1891954442 1063426377 01/20/2020
FATAKHOVA 1629227582 1629227582 02/03/2014
DUVAL 1366618639 1366618639 09/23/2013
CHIAT 1760486799 1164555124 02/18/2019
HERTZ 1013902147 1164555124 11/18/2019
SUMITHRA 1245453000 1245453000 01/01/2018
Page 807 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11372 QUEENS
2019 3 10010 NEW YORK
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2019 4 10010 NEW YORK
2011 1 10562 WESTCHESTER
2016 1 10010 NEW YORK
2018 2 10038 NEW YORK
2013 1 11375 QUEENS
2012 1 10033 NEW YORK
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2016 3 12065 SARATOGA
Page 808 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SANTANA ARELYS DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
FATAKHOVA ROZALIYA DDS (40.749338, -
73.789673)
828 2137 11
DUVAL JOSE MIGUEL DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUMITHRA NAMASSIVAYA DDS (43.00894, - 1148 2141 42
Page 809 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 108
37 108
224
37 108
37 108
37 111
37 108
37 108
37 108
733
Page 810 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST THOMAS
DENTIST RAMESH
DENTIST ANTHONY
DENTIST JAMES
DENTIST THOMAS
DENTIST DAVID
DENTIST RICHARD
DENTIST SURMILENA
DENTIST ANGELA
DENTIST JAMES
DENTIST SUN
DENTIST MICHAEL
DENTIST CARMEN
Page 811 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GIUGLIANO 1932276813 1164555124 03/13/2017
THAKKAR 1790733046 1790733046 06/23/2014
DE MARCO 1881897056 1720160690 09/23/2013
APLTAUER 1114250859 1164555124 09/14/2020
RIUTTA 1437350691 1487630638 09/02/2013
KIRSHENBAUM 1013906593 1720160690 09/23/2013
HOLIDAY 1780715946 1558533828 01/19/2015
POLANCO 1447396742 1447396742 03/02/2015
KAMER 1437410842 1164555124 02/18/2019
SU 1710976923 1710976923 05/05/2014
WON 1194877423 1760436190 07/23/2012
GREGORIO 1699004200 1164555124 02/18/2019
SALCEDO 1699764233 1699764233 06/15/2015
Page 812 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11004 QUEENS
2013 1 11722 SUFFOLK
2019 4 10010 NEW YORK
2013 1 11967 SUFFOLK
2013 1 11722 SUFFOLK
2014 1 10952 ROCKLAND
2014 1 07055 OUT OF STATE
2017 2 10010 NEW YORK
2013 1 10033 NEW YORK
2011 1 10001 NEW YORK
2017 2 10010 NEW YORK
2014 1 10040 NEW YORK
Page 813 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.786779)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
THAKKAR RAMESH J DDS (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
POLANCO SURMILENA ROSARIO
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SU JAMES YU JEN DDS PC (40.726966, -
74.005966)
737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SALCEDO CARMEN (40.726966, -
74.005966)
737 2095 50
Page 814 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
137
37 108
137
137
154
37 108
37 108
37 108
37 108
37 108
Page 815 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARTIN
DENTIST SINDOOR
DENTIST ANIBAL
DENTIST WINIFRED
DENTIST RONALD
DENTIST RAHA
DENTIST MARK
DENTIST NELIDA
DENTIST SUSAN
DENTIST NIRA
DENTIST LEHKA
DENTIST JENNIFER
DENTIST BAHRAM
Page 816 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRAGER 1952440331 1164555124 07/31/2017
DESAI 1902896897 1790787919 05/19/2014
ROMERO 1194789966 1194789966 04/22/2013
MONTUORI 1316197403 1164555124 04/25/2016
KOSINSKI 1942334214 1164555124 01/20/2020
IRAJ 1760545164 1285893719 03/12/2018
SCHLESINGER 1669479408 1164555124 11/25/2019
NESTAREZ 1689735094 1689735094 02/10/2014
FRIEDMAN 1720255177 1164555124 04/25/2016
DWIVEDI 1497935704 1063426377 01/18/2021
SURESH 1053489781 1396736120 06/04/2012
GIBBS 1093971210 1164555124 03/14/2016
ELAAHI 1992949606 1275592693 09/09/2019
Page 817 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 14301 NIAGARA
2012 1 11373 QUEENS
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2016 3 10573 WESTCHESTER
2018 3 10010 NEW YORK
2013 1 11372 QUEENS
2016 1 10010 NEW YORK
2020 4 10038 NEW YORK
2011 1 10550 WESTCHESTER
2016 1 10010 NEW YORK
2014 1 11794 SUFFOLK
Page 818 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMM HLTH CTR BUFFALO INC (43.134634, -
78.856419)
1107 2131 62
ROMERO ANIBAL DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NESTAREZ NELIDA S (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
MT VERNON NEIGH HLTH CTR INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.820237, -
73.119032)
1421 2179 3
Page 819 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
835
37 111
37 108
37 108
224
37 108
37 111
37 108
37 108
224
37 108
137
Page 820 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YELENA
DENTIST HOOMAN
DENTIST LEONARD
DENTIST CHRYSTALLA
DENTIST SHREYA
DENTIST YVES
DENTIST BARRY
DENTIST ZAKIA
DENTIST CHRISTOPHER
DENTIST MICHAEL
DENTIST MEA
DENTIST LUCY
DENTIST MARIE
Page 821 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PINKHAS 1821128273 1821128273 02/06/2018
NEMAN 1548388317 1548388317 11/02/2015
BERKOWITZ 1346239688 1164555124 04/25/2016
ORTHODOXOU 1881750701 1164555124 01/20/2020
PATEL 1902050594 1114137403 08/14/2017
CONTE 1073615894 1073615894 05/03/2021
LOFFREDO 1477796738 1396711982 05/09/2016
AKHTAR 1518095405 1619969458 09/18/2017
LEHFELDT 1700996287 1669568465 04/23/2018
SCHEVON 1265490148 1730302019 05/07/2018
WEINBERG 1568594976 1164555124 02/25/2019
TRONCOSO 1144548280 1164555124 08/17/2020
CONGIUSTA 1013305713 1164555124 02/18/2019
Page 822 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11372 QUEENS
2014 2 11372 QUEENS
2016 1 10010 NEW YORK
2018 2 10010 NEW YORK
2016 1 10302 RICHMOND
2020 4 11432 QUEENS
2015 1 12307 SCHENECTADY
2015 2 11727 SUFFOLK
2015 2 14551 WAYNE
2016 1 10038 NEW YORK
2017 2 10010 NEW YORK
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
Page 823 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PINKHAS YELENA S DDS (40.749338, -
73.789673)
828 2137 11
NEMAN HOOMAN M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY HLTH CTR OF RICHMOND,
INC
(40.566763, -
74.148102)
609 2139 47
CONTE YVES DDS (40.749338, -
73.789673)
828 2137 11
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
HUDSON RIVER HEALTHCARE INC (40.820237, -
73.119032)
1421 2179 3
FINGER LAKES MIGRANT HLTH (43.144336, -
77.117995)
318 631 54
UNITED CEREBRAL PALSY OF NYC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 824 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
37 108
37 108
37 7
37 111
617
137
809
37 108
37 108
37 108
37 108
Page 825 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ASHOK
DENTIST CARL
DENTIST MAX
DENTIST ANNETTE
DENTIST EMILIE
DENTIST NOTCHER
DENTIST RICHARD
DENTIST AZADEH
DENTIST STEVEN
DENTIST MARLEY
DENTIST NATALIA
DENTIST BENJAMIN
DENTIST RASHIDA
Page 826 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SONI 1124011895 1164555124 11/18/2019
BLUMSTEIN 1962518282 1962518282 12/22/2014
ANNISE 1518926930 1548229958 09/14/2015
MAGGI 1861682619 1912225236 12/22/2014
FONG 1245358191 1164555124 03/07/2016
AMARTEIFIO 1023197829 1356406136 07/31/2017
LEE 1801901061 1851328199 08/27/2012
NABATIAN 1356483002 1619969458 06/12/2017
RESNICK 1518982255 1164555124 09/14/2020
RINOLDO 1982837308 1508850280 12/07/2015
PIERATOS 1801209044 1306898432 06/26/2017
GODDER 1871713610 1164555124 08/31/2020
CHEATHAM 1831440460 1467469023 05/09/2016
Page 827 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 3 10010 NEW YORK
2014 1 10952 ROCKLAND
2014 1 10007 NEW YORK
2014 3 14544 YATES
2016 1 10010 NEW YORK
2015 1 10038 NEW YORK
2011 1 10025 NEW YORK
2016 1 11701 SUFFOLK
2019 4 10010 NEW YORK
2014 1 13142 OSWEGO
2016 1 10011 NEW YORK
2019 4 10010 NEW YORK
2015 1 10038 NEW YORK
Page 828 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BLUMSTEIN CARL MARK DDS (41.127287, -
74.017033)
1546 628 27
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CUMBERLAND D & T CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -
76.31133)
623 2135 41
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -
74.005966)
737 2095 50
Page 829 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
154
37 108
581
37 108
37 108
37 108
137
37 108
533
37 108
37 108
37 108
Page 830 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LAURA
DENTIST ADAM
DENTIST HYANG-RIM
DENTIST ERIC
DENTIST VIVIANA
DENTIST ALISON
DENTIST JEFFREY
DENTIST CLAUDIA
DENTIST WILLIAM
DENTIST NORMAN
DENTIST ROYA
DENTIST NAIDA
DENTIST LEYLA
Page 831 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DE OLEO 1326429465 1063480218 09/11/2017
MERRIAM 1174834048 1154463016 11/09/2015
LEE 1447313481 1447313481 03/09/2015
GOTHELF 1255312641 1255312641 01/06/2014
RAMIREZ 1568708402 1770832503 04/03/2017
ADLER 1134482102 1063480218 12/16/2013
KORENMAN 1366405334 1124334826 11/25/2013
LOZANO 1629306931 1467487637 08/21/2017
LIEBERMAN 1326064221 1164555124 03/14/2016
ROSENBLUM 1902904667 1164555124 03/14/2016
AFSHAR-MOHAJER 1740327675 1164555124 11/25/2019
HENRIQUEZ 1770645640 1467487637 07/05/2021
ESCUDERO 1033190855 1033190855 11/02/2018
Page 832 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10950 ORANGE
2015 1 11323 QUEENS
2014 1 11361 QUEENS
2013 1 11377 QUEENS
2015 1 10027 NEW YORK
2013 1 10950 ORANGE
2013 2 10027 NEW YORK
2015 2 10562 WESTCHESTER
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2020 5 10562 WESTCHESTER
2014 1 11373 QUEENS
Page 833 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
LEE HYANG-RIM DDS (40.749338, -
73.789673)
828 2137 11
GOTHELF ERIC PAUL DDS (40.749338, -
73.789673)
828 2137 11
AFSHAN HAQUE DDS PC (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
ESCUDERO LEYLA DDS (40.749338, -
73.789673)
828 2137 11
Page 834 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
37 111
37 111
37 111
37 108
76
37 108
224
37 108
37 108
37 108
224
37 111
Page 835 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LOUIS
DENTIST HILLEL
DENTIST SUNNA
DENTIST DANIEL
DENTIST KWAKU
DENTIST MARISA
DENTIST DAWN
DENTIST STEVEN
DENTIST RAJ
DENTIST YURIY
DENTIST RICHARD
DENTIST FARNAZ
DENTIST LENA
Page 836 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIN 1922329317 1164555124 03/14/2016
STEIN 1841366622 1598067670 06/17/2013
HUH 1073957411 1891968012 03/07/2016
TAVELINSKY 1831319268 1669470019 04/26/2021
ANAKWA 1497862197 1851328199 08/27/2012
PEREIRA 1972844264 1164555124 01/20/2020
HERBER 1700095445 1053482067 06/15/2015
ENGEBRETSON 1265563589 1164555124 07/05/2021
SINGLA 1639168842 1639168842 03/06/2017
YAKUBOV 1295725984 1295725984 06/22/2015
GRUFFI 1093952236 1689669079 05/07/2012
TAMARI 1316184468 1295729408 08/25/2014
ALSABBAN 1386842615 1164555124 08/24/2020
Page 837 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2012 1 11693 QUEENS
2015 1 10038 NEW YORK
2020 3 10977 ROCKLAND
2011 1 10025 NEW YORK
2018 3 10010 NEW YORK
2014 1 11794 SUFFOLK
2020 5 10010 NEW YORK
2013 1 11427 QUEENS
2015 1 11374 QUEENS
2011 1 12550 ORANGE
2013 1 10035 NEW YORK
2019 4 10010 NEW YORK
Page 838 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DR STEINS DENTAL GROUP PLLC (40.749338, -
73.789673)
828 2137 11
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SINGLA RAJ KUMAR DDS (40.749338, -
73.789673)
828 2137 11
YAKUBOV YIRIY (40.749338, -
73.789673)
828 2137 11
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
INSTITUTE FOR FAMILY HLTH (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 839 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
154
37 108
37 108
137
37 108
37 111
37 111
76
37 108
37 108
Page 840 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEFFREY
DENTIST MARISA
DENTIST AMIT
DENTIST KEVIN
DENTIST ROYA
DENTIST JOANNE
DENTIST SANDRA
DENTIST KATSUSHI
DENTIST FRANK
DENTIST ANABELLA
DENTIST LOREANE
DENTIST FARHAD
DENTIST JOAN
Page 841 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROMANOWSKI 1730354416 1164555124 02/25/2019
PEREIRA 1972844264 1164555124 09/18/2017
RAJANI 1316175813 1467486449 05/13/2013
WALTROUS 1558439307 1245498500 10/27/2014
AFSHAR-MOHAJER 1740327675 1164555124 08/24/2020
STPAUL 1942385315 1942385315 02/17/2014
GENAO 1689890980 1689890980 09/16/2013
OKAZAKI 1134536857 1164555124 11/25/2019
ANDRIANI 1265590186 1144273996 05/27/2013
OQUENDO PARILLI 1972991420 1164555124 03/14/2016
ENGELHARDT 1639297823 1144273996 09/08/2014
VAHIDI 1588846356 1164555124 01/06/2020
GRCEVIC 1346221496 1467487637 08/19/2019
Page 842 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10035 NEW YORK
2014 1 10128 NEW YORK
2019 4 10010 NEW YORK
2013 1 11429 QUEENS
2013 1 11103 QUEENS
2018 3 10010 NEW YORK
2012 1 11361 QUEENS
2016 1 10010 NEW YORK
2013 2 11787 SUFFOLK
2018 3 10010 NEW YORK
2018 2 10562 WESTCHESTER
Page 843 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SAINT PAUL L JOANNE (40.749338, -
73.789673)
828 2137 11
GENAO SANDRA ALTAGRACIA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPTI-HEALTHCARE (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
Page 844 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 108
37 111
37 111
37 108
37 111
37 108
137
37 108
224
Page 845 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BYONGYOOL
DENTIST ROYA
DENTIST TAMAR
DENTIST DAVID
DENTIST BARRY
DENTIST PERRY
DENTIST RONALD
DENTIST JANET
DENTIST RAPHAEL
DENTIST RBEEA
DENTIST DEBRA
DENTIST MEENA
DENTIST ROBERT
DENTIST YON
Page 846 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM 1538334867 1497926141 10/28/2013
AFSHAR-MOHAJER 1740327675 1164555124 03/07/2016
GOLD 1649543737 1124334826 05/05/2014
SCHIRMER 1396963757 1396963757 03/10/2014
KAHN 1003976192 1386714228 10/15/2012
SILVER 1730263286 1780052712 01/29/2018
ROSENBERG 1285883728 1285883728 02/17/2014
STODDART 1457416232 1295729408 05/13/2013
HAMILTON 1376857649 1295729408 05/13/2013
KHAN 1487887246 1700161338 12/03/2018
FERRAIOLO 1942223516 1164555124 02/18/2019
SHAH 1184709255 1184709255 03/11/2013
ILYAYEV 1518967108 1518967108 12/03/2018
LAI 1487856522 1841499928 08/24/2017
Page 847 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 07024 OUT OF STATE
2016 1 10010 NEW YORK
2013 1 10027 NEW YORK
2013 1 14830 STEUBEN
2012 1 10595 WESTCHESTER
2016 1 11937 SUFFOLK
2013 1 12550 ORANGE
2012 1 12428 ULSTER
2012 1 12401 ULSTER
2014 1 11419 QUEENS
2017 2 10010 NEW YORK
2012 1 10025 NEW YORK
2014 1 11416 QUEENS
2013 1 10038 NEW YORK
Page 848 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRU-DENTAL PC
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
SCHIRMER DAVID C DDS (42.270053, -
77.324618)
1757 2178 58
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
PERRY L SILVER DDS LLC (40.820237, -
73.119032)
1421 2179 3
ROSENBERG RONALD L DDS (41.422459, -
74.241929)
1496 2134 32
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
LIBERTY 786 DENTISTRY PLLC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAH MEENA HEMANT DDS PC (40.726966, -
74.005966)
737 2095 50
ILYAYEV ROBERT DDS (40.749338, -
73.789673)
828 2137 11
YON H LAI DDS PC (40.726966, - 737 2095 50
Page 849 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
454
224
137
76
198
198
37 111
37 108
37 108
37 111
37 108
Page 850 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NAZMUS
DENTIST LEIGH
DENTIST RICHARD
DENTIST CARLA
DENTIST SOHELI
DENTIST GRECY
DENTIST JAMES
DENTIST AISHA
DENTIST ILEANA
DENTIST MARIA
DENTIST DANIEL
DENTIST ROBERT
DENTIST BABAK
Page 851 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZAHANGIR 1164666871 1467486449 07/21/2014
BUSCH 1366519993 1164555124 08/24/2020
TRUSHKOWSKY 1962481994 1164555124 01/06/2020
WEISFELD 1750547766 1750547766 05/20/2016
AZAD 1093924755 1093924755 04/30/2018
MARTINEZ 1447319652 1447319652 01/21/2013
KING 1265537724 1033124961 01/25/2021
TOURE 1114182854 1669568465 09/02/2013
ARIAS-MUNOZ 1831300755 1306954631 10/01/2012
LUCIA 1740358175 1740358175 09/10/2018
RICHTER 1689830200 1700943750 04/16/2018
TRAGER 1699766899 1699766899 03/11/2013
HAMIDI 1275628356 1164555124 12/23/2019
Page 852 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 10035 NEW YORK
2019 4 10010 NEW YORK
2018 2 10010 NEW YORK
2013 2 11372 QUEENS
2016 3 11432 QUEENS
2012 1 10031 NEW YORK
2020 3 10038 NEW YORK
2012 1 14456 ONTARIO
2012 1 11101 QUEENS
2016 3 13088 ONONDAGA
2016 1 12180 RENSSELAER
2012 1 11412 QUEENS
2018 3 10010 NEW YORK
Page 853 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CARLA ISABEL WEISFELD (40.749338, -
73.789673)
828 2137 11
AZAD SOHELI ANAR (40.749338, -
73.789673)
828 2137 11
MARTINEZ BELLIARD GRECY DDS (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
AMERICAN MOBILE DENTAL PC (42.70098, -
73.628669)
38 2138 33
TRAGER ROBERT M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 854 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
37 111
37 108
37 108
691
37 111
755
40 473
37 111
37 108
Page 855 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GARY
DENTIST JACQUELINE
DENTIST ANALIA
DENTIST WILLIAM
DENTIST PAUL
DENTIST YING
DENTIST NIKOLAS
DENTIST KRISTIN
DENTIST HYUN KYU
DENTIST IRYNA
DENTIST SAMSON
DENTIST PAUL
DENTIST THOMAS
Page 856 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BERKOWITZ 1285812800 1164555124 03/07/2016
AGUILAR 1689868242 1467486449 07/02/2018
KEENAN 1801979950 1164555124 03/21/2016
LIEBERMAN 1326064221 1164555124 08/24/2020
BERNSTEIN 1194899575 1164555124 02/18/2019
WONG 1144311390 1164555124 03/14/2016
JIMENEZ 1356330336 1356330336 11/09/2015
BENDER 1386960524 1669470019 03/25/2013
SONG 1174750558 1407088008 02/18/2013
BRANETS 1043335185 1164555124 11/18/2019
SOLOMON 1174708903 1851372742 05/19/2014
HENNIS 1679562227 1679562227 11/04/2013
GIUGLIANO 1932276813 1164555124 02/18/2019
Page 857 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2016 2 10035 NEW YORK
2016 1 10010 NEW YORK
2019 3 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2015 1 10031 NEW YORK
2012 1 10977 ROCKLAND
2012 1 10001 NEW YORK
2018 3 10010 NEW YORK
2013 1 11375 QUEENS
2013 1 11422 QUEENS
2017 2 10010 NEW YORK
Page 858 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NIKOLAS D JIMENEZ. DMD, P.C. (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
IAN D PASCH D D S P C (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TWINS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
HENNIS PAUL MOHEB (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 859 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 108
37 108
37 108
154
37 108
37 108
37 111
37 111
37 108
Page 860 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WILLIAM
DENTIST DEBORAH
DENTIST WAYNE
DENTIST ANNA
DENTIST RODOLFO
DENTIST MERCEDES
DENTIST ELIONORA
DENTIST HASSAN
DENTIST ANGELA
DENTIST JOHN
DENTIST MICHAEL
DENTIST SILVIA
DENTIST LOUIS
Page 861 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SKIBA 1194839050 1164555124 07/31/2017
NINA 1235220229 1881991214 01/30/2018
KYE 1154430965 1164555124 07/05/2021
ALEKSEYEVA 1255427357 1235285024 03/11/2013
WERT 1720147200 1720147200 02/18/2013
PINA 1104803840 1104803840 01/28/2013
SABZANOV 1093722944 1477505220 07/17/2017
ALAMZAD 1831170430 1831170430 08/24/2015
DE BARTOLO 1033235890 1164555124 03/07/2016
LETIZIA 1881742567 1881742567 04/15/2013
FERGUSON 1639227424 1164555124 01/06/2020
SPIVAKOVSKY 1013907674 1164555124 03/07/2016
LIN 1922329317 1164555124 08/31/2020
Page 862 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11372 QUEENS
2020 5 10010 NEW YORK
2012 1 10970 ROCKLAND
2012 2 10033 NEW YORK
2012 1 10033 NEW YORK
2016 1 11416 QUEENS
2012 1 11372 QUEENS
2016 1 10010 NEW YORK
2012 1 10029 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
Page 863 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DEBORAH NINA DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
A&R ADVANCED DENTAL GROUP (41.127287, -
74.017033)
1546 628 27
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
PINA MERCEDES DDS (40.726966, -
74.005966)
737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -
73.789673)
828 2137 11
ALAMZAD MOHAMMAD HASSAN DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LETIZIA JOHN FRANK DMD (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 864 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
154
37 108
37 108
37 111
37 111
37 108
37 108
37 108
37 108
37 108
Page 865 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAWN
DENTIST CHARLES
DENTIST KIMBERLY
DENTIST AHMED
DENTIST ADEL
DENTIST ARTHUR
DENTIST JOHNASINA
DENTIST MARCELO
DENTIST SEUNG-HEE
DENTIST RALPH
DENTIST MOHAMMAD
DENTIST ASHOK
DENTIST JEANNE
Page 866 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOSNICK 1073727830 1053482067 03/20/2017
ADLER 1316909765 1063426377 12/31/2018
FERGUSON 1598913337 1467487637 05/28/2018
TAHA EL KADY 1215918073 1215918073 12/22/2014
NASSER 1477607760 1477607760 06/22/2018
GOREN 1518114438 1164555124 07/05/2021
CUMMINGS 1093869927 1053482067 11/03/2014
CALDERON 1467677054 1467677054 05/11/2015
RHEE 1487675963 1164555124 02/25/2019
CUNNINGHAM 1336369461 1164555124 02/18/2019
ALAVI 1871801738 1295729408 06/25/2012
SONI 1124011895 1164555124 02/25/2019
NERVINA 1417081365 1164555124 02/25/2019
Page 867 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11794 SUFFOLK
2017 2 10038 NEW YORK
2016 3 10562 WESTCHESTER
2014 1 11429 QUEENS
2013 1 11103 QUEENS
2020 5 10010 NEW YORK
2014 1 11794 SUFFOLK
2014 1 11420 QUEENS
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2011 1 12428 ULSTER
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
Page 868 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
TAHA EL KADY AHMED M (40.749338, -
73.789673)
828 2137 11
NASSER ADEL ELIE (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
CALDERON MARCELO EDUARDO DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 869 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
224
37 111
37 111
37 108
137
37 111
37 108
37 108
198
37 108
37 108
Page 870 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WILLIAM
DENTIST URSZULA
DENTIST KATSUSHI
DENTIST THOMAS
DENTIST JAMES
DENTIST KATSUSHI
DENTIST TAKYAN
DENTIST ASGEIR
DENTIST YAKOV
DENTIST WILLIAM
DENTIST PABLO
DENTIST ARNOLD
DENTIST IQBAL
Page 871 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BONGIORNO 1679888564 1164555124 07/05/2021
KOROL 1417170630 1164555124 04/25/2016
OKAZAKI 1134536857 1164555124 04/25/2016
GRANDVILLE 1487949236 1609915883 08/05/2019
KING 1265537724 1033124961 03/13/2017
OKAZAKI 1134536857 1164555124 08/17/2020
CHAN 1205979051 1851328199 10/07/2013
SIGURDSSON 1255746301 1164555124 03/14/2016
KURILENKO 1629186887 1629186887 05/15/2018
LIEBERMAN 1326064221 1164555124 02/25/2019
ELIZONDO 1093029399 1912225236 11/18/2013
RAY 1114158441 1164555124 02/25/2019
SAYED 1134307747 1134307747 03/16/2020
Page 872 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 4 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 11776 SUFFOLK
2015 1 10038 NEW YORK
2019 4 10010 NEW YORK
2013 2 10025 NEW YORK
2016 1 10010 NEW YORK
2013 1 11414 QUEENS
2017 2 10010 NEW YORK
2012 1 13501 ONEIDA
2017 2 10010 NEW YORK
2016 1 11772 SUFFOLK
Page 873 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KURILENKO YAKOV DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PATCHOGUE DENTAL SERVICES PC (40.820237, - 1421 2179 3
Page 874 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
137
37 108
37 108
37 108
37 108
37 111
37 108
794
37 108
137
Page 875 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NICHOLAS
DENTIST JACKLYN
DENTIST YI YING
DENTIST FARHAD
DENTIST YEFIM
DENTIST MIJIN
DENTIST SERENA
DENTIST BENJAMIN
DENTIST SUDHAKAR
DENTIST ANNETTE
DENTIST MONICA
DENTIST ROBERT
DENTIST ANDERSON
Page 876 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GIANNUZZI 1659462265 1164555124 02/18/2019
FISHER 1073890778 1235574278 09/11/2017
SU 1154522605 1164555124 03/14/2016
AZIZZADEH 1588648828 1588648828 05/01/2017
KHANIMOV 1710067129 1710067129 06/22/2015
CHOI 1962661728 1164555124 07/05/2021
KASSAM 1699978924 1164555124 08/24/2020
GEISLER 1477893311 1467487637 08/26/2019
SHETTY 1861663569 1861663569 07/28/2014
MAGGI 1861682619 1912225236 02/03/2014
KACHWALLA 1265642870 1295729408 06/25/2012
FRIEDMAN 1750343984 1750343984 12/05/2016
HUANG 1306947825 1164555124 02/18/2019
Page 877 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2016 1 11419 QUEENS
2016 1 10010 NEW YORK
2013 1 11429 QUEENS
2015 1 11374 QUEENS
2020 5 10010 NEW YORK
2019 3 10010 NEW YORK
2018 3 10562 WESTCHESTER
2014 1 11421 QUEENS
2013 2 14544 YATES
2011 1 10035 NEW YORK
2015 1 11432 QUEENS
2017 2 10010 NEW YORK
Page 878 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RICHMOND HILL DENTAL GROUP PLLC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AZIZZADEH FARHAD DDS (40.749338, -
73.789673)
828 2137 11
KHANIMOV YEFIM DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
WOODHAVEN DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
INSTITUTE FOR FAMILY HLTH (40.726966, -
74.005966)
737 2095 50
FRIEDMAN ROBERT B PC DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 879 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 111
37 111
37 108
37 108
224
37 111
581
37 108
37 111
37 108
Page 880 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALTAY
DENTIST RONEN
DENTIST ELENA
DENTIST MARCI
DENTIST MIJIN
DENTIST CHERYL
DENTIST MELVYN
DENTIST SHUAN
DENTIST MARK
DENTIST LIBIA
DENTIST CHIRANJIB
DENTIST TAUSEEL
DENTIST BENN
Page 881 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHANMAMEDOV 1437114170 1114178795 12/28/2015
OSINSKY 1649257072 1063480218 01/27/2014
DAMIANO 1801007935 1164555124 02/18/2019
LEVINE 1255321931 1164555124 07/31/2017
CHOI 1962661728 1164555124 02/18/2019
WORRELL 1598734949 1063577831 09/14/2015
SEGAL 1740428721 1164555124 03/21/2016
YU 1609865781 1073729380 03/23/2015
FRANKE 1518935873 1467432765 07/23/2012
JIMENEZ 1578636668 1588877591 09/30/2013
DUTTA 1205982196 1205982196 08/05/2013
KHAN 1255471389 1669470019 10/22/2012
LIEBERMAN 1255489977 1679587679 11/25/2019
Page 882 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 2 10032 NEW YORK
2013 1 10950 ORANGE
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2014 1 10302 RICHMOND
2016 1 10010 NEW YORK
2014 1 11725 SUFFOLK
2011 1 13617 ST.LAWRENCE
2012 1 10031 NEW YORK
2013 1 11354 QUEENS
2012 1 10977 ROCKLAND
2018 2 10038 NEW YORK
Page 883 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EAST NY D & T CTR (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
THE WISDOM TOOTH OF COMMACK (40.820237, -
73.119032)
1421 2179 3
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
L J PROFESSIONAL DENTAL P C (40.726966, -
74.005966)
737 2095 50
DUTTA CHIRANJIB DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
JACOBI MEDICAL CENTER (40.726966, - 737 2095 50
Page 884 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
76
37 108
37 108
37 108
37 7
37 108
137
919
37 108
37 111
154
37 108
Page 885 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LESLIE
DENTIST JACQUELINE
DENTIST JOSEPH
DENTIST STEVEN
DENTIST PHILIP
DENTIST PEDRO
DENTIST MELTON
DENTIST ZAKIA
DENTIST LEONARD
DENTIST MOHAMMED
DENTIST JOEL
DENTIST IRWIN
DENTIST MANUEL
Page 886 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JOSEPH 1134165434 1003093436 10/30/2017
AHN 1265669303 1366644718 08/03/2015
KUMAR 1508874884 1619969458 07/30/2018
GLASSMAN 1295812667 1295812667 08/23/2019
BUCCIGROSSI 1134136823 1164555124 11/25/2019
ALVAREZ 1063446771 1467432765 06/16/2014
ADLER 1851373575 1851373575 03/12/2019
AKHTAR 1518095405 1619969458 07/02/2012
BERKOWITZ 1346239688 1164555124 08/24/2020
KHAIR 1831310234 1396711982 05/26/2014
SILVER 1093946717 1164555124 08/17/2020
ZANDMAN 1750598082 1750598082 12/30/2019
GALAN 1619054947 1619054947 08/05/2019
Page 887 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 2 10016 NEW YORK
2015 1 11788 SUFFOLK
2016 3 10566 WESTCHESTER
2014 1 10305 RICHMOND
2018 2 10010 NEW YORK
2013 3 13617 ST.LAWRENCE
2014 1 11358 QUEENS
2011 1 10566 WESTCHESTER
2019 4 10010 NEW YORK
2013 2 12307 SCHENECTADY
2019 4 10010 NEW YORK
2018 4 10029 NEW YORK
2014 2 10031 NEW YORK
Page 888 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -
74.005966)
737 2095 50
CHILDRENS DENTISTRY OF HAUPPAUGE (40.820237, -
73.119032)
1421 2179 3
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
GLASSMAN STEVEN L DDS (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
ADLER MELTON A DDS (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ZANDMAN I HARVEY (40.726966, -
74.005966)
737 2095 50
GALAN DENTAL PC (40.726966, - 737 2095 50
Page 889 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
224
37 7
37 108
919
37 111
224
37 108
617
37 108
37 108
37 108
Page 890 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARTHUR
DENTIST MAUREEN
DENTIST COLLEEN
DENTIST PETER
DENTIST JACKLYN
DENTIST MARK
DENTIST DELLANIRA
DENTIST ARUNA
DENTIST NEAL
DENTIST KATHERINE
DENTIST STEVEN
DENTIST ALICIA
DENTIST ELVIRA
Page 891 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KUBIKIAN 1235175407 1164555124 03/14/2016
KHOO 1275723389 1891968012 05/11/2017
WATSON 1316086184 1164555124 07/05/2021
HWANG 1366585671 1851328199 08/27/2012
TADROS 1174663785 1972681484 10/01/2012
BERMAN 1013924414 1619969458 07/02/2012
ROSARIO-LEGER 1083603419 1083603419 11/26/2012
SAPRA 1861522252 1861522252 10/23/2019
HERMAN 1972647642 1164555124 02/18/2019
KIM 1851553259 1851553259 12/10/2018
KAYE 1215076922 1215076922 12/03/2018
SCHRANER 1578841128 1578841128 11/25/2013
YAKUBOV 1780806224 1780806224 12/28/2015
Page 892 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 10038 NEW YORK
2020 5 10010 NEW YORK
2011 1 10025 NEW YORK
2012 1 10952 ROCKLAND
2011 1 12561 ULSTER
2012 1 10033 NEW YORK
2015 1 10927 ROCKLAND
2017 2 10010 NEW YORK
2017 4 10705 WESTCHESTER
2014 1 11432 QUEENS
2012 1 10029 NEW YORK
2015 1 11374 QUEENS
Page 893 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
HUDSON RIVER HEALTHCARE INC (41.848374, -
74.099412)
264 2182 32
ROSARIO-LEGER DELLANIRA C (40.726966, -
74.005966)
737 2095 50
SAPRA ARUNA M (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIM KATHERINE KYUNGMIN DDS (41.039278, -
73.805386)
1440 2185 53
KAYE STEVEN CHARLES (40.749338, -
73.789673)
828 2137 11
SCHRANER ALICIA ANN (40.726966, -
74.005966)
737 2095 50
YAKUBOVA ELVIRA DDS (40.749338, - 828 2137 11
Page 894 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
154
198
37 108
154
37 108
224
37 111
37 108
37 111
Page 895 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HEBRI
DENTIST HARRY
DENTIST STEPHEN
DENTIST MARIO
DENTIST DOMINICK
DENTIST FEREYDOUN
DENTIST DARIO
DENTIST EVA
DENTIST ALAN
DENTIST ROBERT
DENTIST MAGED
DENTIST OLEG
DENTIST TANZILA
Page 896 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BALLAL 1720098072 1124032982 07/27/2020
CAMPBELL 1639253552 1124334826 10/01/2012
GELFMAN 1760590467 1679587679 07/27/2020
VIOLANTE 1194868836 1346337011 11/16/2015
CONGIUSTA 1427153543 1164555124 08/24/2020
KHALILI 1336368141 1801126339 09/23/2013
YAPOR 1235210972 1235210972 12/31/2012
LEBRON 1497882716 1497882716 04/22/2013
WINIK 1659584084 1386714228 10/30/2017
TASCA 1033224209 1851328199 07/05/2021
ISKAROS 1023177227 1164555124 02/18/2019
KLEMPNER 1033393525 1427171966 05/01/2017
CHAUDHRY 1831582931 1831582931 01/11/2021
Page 897 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 2 10038 NEW YORK
2012 1 10027 NEW YORK
2019 2 10038 NEW YORK
2015 1 14304 NIAGARA
2019 4 10010 NEW YORK
2013 1 11419 QUEENS
2012 1 10032 NEW YORK
2012 1 10033 NEW YORK
2015 4 10595 WESTCHESTER
2020 2 10025 NEW YORK
2017 2 10010 NEW YORK
2012 1 11374 QUEENS
2016 1 10029 NEW YORK
Page 898 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
CONEY ISLAND HOSPITAL (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
ASPIRE OF WESTERN NEW YORK IN (43.134634, -
78.856419)
1107 2131 62
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LEFFERTS 26 DENTISTRY PLLC (40.749338, -
73.789673)
828 2137 11
YAPOR DARIO YAMIT DDS (40.726966, -
74.005966)
737 2095 50
LEBRON-VELAZQUEZ EVA DDS (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PARK DENTAL CARE OF BROOKLYN PLLC (40.749338, -
73.789673)
828 2137 11
CHAUDHRY TANZILA (40.726966, - 737 2095 50
Page 899 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
835
37 108
37 111
37 108
37 108
224
37 108
37 108
37 111
37 108
Page 900 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NADESCA
DENTIST LIANA
DENTIST BLANCA
DENTIST MAKSIM
DENTIST MARIA
DENTIST SUKRIYE
DENTIST FABIOLA
DENTIST FRANCISCO
DENTIST NIRA
DENTIST TEODORO
DENTIST NORIS
DENTIST EDWARD
DENTIST ANGELA
Page 901 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DULUC 1477698132 1477698132 03/11/2013
DUMITRU 1700939527 1700939527 12/22/2014
BORBOA 1003932583 1700911682 09/15/2014
LYUBARSKIY 1427110220 1790971869 05/07/2018
KIM 1013173111 1013173111 03/25/2013
BAGE 1457584815 1417053778 04/25/2016
REYES 1396934915 1396934915 11/22/2016
MEJIA 1225117690 1225117690 03/11/2013
DWIVEDI 1497935704 1063426377 05/11/2020
REGUS 1427175405 1427175405 07/20/2015
CARRASCO 1487742276 1487742276 08/19/2013
RUDOLPH 1457649824 1669470019 01/14/2013
KAMER 1437410842 1164555124 03/21/2016
Page 902 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10977 ROCKLAND
2014 1 11385 QUEENS
2014 1 11429 QUEENS
2016 2 07728 OUT OF STATE
2012 1 11368 QUEENS
2016 1 10960 ROCKLAND
2012 1 10040 NEW YORK
2012 1 11717 SUFFOLK
2019 3 10038 NEW YORK
2014 2 10034 NEW YORK
2013 1 11103 QUEENS
2012 1 10977 ROCKLAND
2016 1 10010 NEW YORK
Page 903 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
DULUC NADESCA MARLENI DDS (41.127287, -
74.017033)
1546 628 27
DUMITRU LIANA V (40.749338, -
73.789673)
828 2137 11
FIRST ALERT DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
WALTON DENTAL PLLC
KIM MARIA CRISTINA DDS (40.749338, -
73.789673)
828 2137 11
SONIA G HANNA (41.127287, -
74.017033)
1546 628 27
REYES FABIOLA ANTILLANA (40.726966, -
74.005966)
737 2095 50
MEJIA FRANCISCO DDS (40.820237, -
73.119032)
1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
REGUS TEODORE E DDS (40.726966, -
74.005966)
737 2095 50
CARRASCO NORIS A DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 904 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 111
37 111
37 111
154
37 108
137
37 108
37 108
37 111
154
37 108
Page 905 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CYNTHIA
DENTIST MATHEW
DENTIST ANDREW
DENTIST ALVINA
DENTIST BRIAN
DENTIST DONALD
DENTIST SAMUEL
DENTIST WILLIAM
DENTIST JENNIFER
DENTIST BAHN YAH
DENTIST CARISSA
DENTIST NAZAR
DENTIST ANNETTE
Page 906 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TSEN 1457683575 1457683575 05/20/2016
GEORGE 1164564308 1548229958 09/14/2015
DEMOS 1689899643 1609915883 06/18/2018
LIM 1770775991 1699076083 10/07/2013
LEIBOWITZ 1053392977 1194967729 12/05/2016
SPITZER 1215072897 1164555124 02/25/2019
KRAMER 1497811699 1164555124 03/21/2016
SANDAK 1891761482 1396711982 06/25/2012
ORTIZ 1538442017 1396711982 05/26/2014
MOON 1053614263 1275592693 12/07/2015
CAMPOS 1144563560 1467486449 04/16/2018
SHCHEGLOV 1598775520 1598775520 11/16/2015
MAGGI 1861682619 1912225236 10/07/2013
Page 907 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 11373 QUEENS
2014 1 12550 ORANGE
2016 1 11360 QUEENS
2013 1 10128 NEW YORK
2016 1 11720 SUFFOLK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2011 1 12307 SCHENECTADY
2013 2 12307 SCHENECTADY
2014 1 10065 NEW YORK
2016 2 10035 NEW YORK
2015 1 10039 NEW YORK
2012 1 14544 YATES
Page 908 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TSEN CYNTHIA (40.749338, -
73.789673)
828 2137 11
METROPOLITAN DENTAL ASSOC DDS (41.422459, -
74.241929)
1496 2134 32
STEPHEN B GOLD R SERINO DDS (40.749338, -
73.789673)
828 2137 11
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
CINQUEMANI & LEIBOWITZ D D S P C (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
SHCHEGLOV NAZAR DDS (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
Page 909 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
76
37 111
37 108
137
37 108
37 108
617
617
37 108
37 108
37 108
581
Page 910 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALAN
DENTIST WILLIAM
DENTIST LINDSAY
DENTIST AARON
DENTIST SAMMI
DENTIST ROGER
DENTIST YURIY
DENTIST ANTHONY
DENTIST JIN
DENTIST OLGA
DENTIST GLENN
DENTIST NATALYA
DENTIST ALLAN
Page 911 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WINIK 1659584084 1386714228 03/26/2018
BONGIORNO 1679888564 1164555124 11/25/2019
STEARN 1144508979 1437478674 11/02/2015
POLINSKY 1548262652 1548262652 08/26/2013
YEUNG 1871710632 1497046288 01/11/2016
WARREN 1396732293 1164555124 02/25/2019
FATAKHOV 1023140407 1023140407 05/20/2016
ARDISANA 1861693871 1265707491 11/02/2015
YOO 1972750552 1164555124 02/25/2019
ZAVULUNOVA 1396817664 1396817664 11/11/2013
ROCHLEN 1194926287 1164555124 02/25/2019
ORLOVA 1215141981 1215141981 11/10/2014
MATTHEW 1851513634 1669817938 08/11/2014
Page 912 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 5 10595 WESTCHESTER
2018 3 10010 NEW YORK
2014 1 11415 QUEENS
2013 1 10601 WESTCHESTER
2014 1 10013 NEW YORK
2017 2 10010 NEW YORK
2014 2 11375 QUEENS
2015 1 12754 SULLIVAN
2017 2 10010 NEW YORK
2013 1 11374 QUEENS
2017 2 10010 NEW YORK
2014 2 10034 NEW YORK
2014 1 11105 QUEENS
Page 913 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DESIGNER BRACES (40.749338, -
73.789673)
828 2137 11
POLINSKY AARON R DDS (41.039278, -
73.805386)
1440 2185 53
YEUNGS DENTAL CARE PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Y & E ELITE DENTAL CARE PLLC (40.749338, -
73.789673)
828 2137 11
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ZAVULUNOVA OLGA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ORLOVA NATALYA DDS (40.726966, -
74.005966)
737 2095 50
CORRECTIONAL MEDICAL ASSOCIATES
OF
(40.749338, -
73.789673)
828 2137 11
Page 914 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 108
37 111
224
37 108
37 108
37 111
283
37 108
37 111
37 108
37 108
37 111
Page 915 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ANGELA
DENTIST ROLLAND
DENTIST WILLIAM
DENTIST MAMOON
DENTIST LEWIS
DENTIST KASHMIRA
DENTIST CHARLES
DENTIST ALEXANDER
DENTIST PAVEL
DENTIST ALISSA
DENTIST MIJIN
DENTIST HARRY
DENTIST GARY
Page 916 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAMER 1437410842 1164555124 08/24/2020
ROGERS 1710050372 1710050372 08/19/2013
KAPLAN 1699829770 1700943750 08/04/2014
IQBAL 1497746259 1396061594 02/22/2016
LAMPERT 1841680329 1164555124 03/21/2016
DEMEIRELES 1871649194 1871649194 01/22/2018
ADLER 1316909765 1063426377 08/12/2019
KERR 1306994645 1164555124 12/23/2019
KRASTEV 1841451952 1164555124 03/14/2016
SELEVAN 1730443250 1063480218 12/16/2013
CHOI 1962661728 1164555124 03/14/2016
HARCSZTARK 1154494458 1972681484 04/27/2015
GOLDSTEIN 1629198916 1164555124 02/18/2019
Page 917 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2013 1 11375 QUEENS
2013 1 10543 WESTCHESTER
2015 1 11432 QUEENS
2016 1 10010 NEW YORK
2013 1 11701 SUFFOLK
2018 3 10038 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 10950 ORANGE
2016 1 10010 NEW YORK
2014 1 10952 ROCKLAND
2017 2 10010 NEW YORK
Page 918 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ROGERS ROLLAND DDS (40.749338, -
73.789673)
828 2137 11
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
IQBAL DENTAL GROUP PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DEMEIRELES KASHMIRA DDS (40.820237, -
73.119032)
1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 919 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
224
37 111
37 108
137
37 108
37 108
37 108
76
37 108
154
37 108
Page 920 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARK
DENTIST KATTE
DENTIST ANAYO
DENTIST ROBERT
DENTIST KLENISE
DENTIST CHANDINI
DENTIST RISHI
DENTIST DIGNA
DENTIST MARIA
DENTIST LUCY
DENTIST YAKOV
DENTIST NAMASSIVAYA
DENTIST MICHAEL
Page 921 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BORNFELD 1427050541 1164555124 03/07/2016
ANILESH 1730249806 1730249806 02/15/2018
ADACHIE 1134356157 1275592693 01/15/2018
DANTI 1982748422 1164555124 01/06/2020
PARANHOS 1013276799 1164555124 03/14/2016
HUDSON 1396942397 1043224355 05/31/2021
KOTHARI 1528345188 1528345188 06/16/2021
RODRIGUEZ 1114205697 1114178795 09/23/2013
RODRIGUEZ-CARDENAS 1013151125 1164555124 11/18/2019
TRONCOSO 1144548280 1164555124 02/25/2019
KURILENKO 1629186887 1629186887 06/09/2014
SUMITHRA 1245453000 1245453000 09/14/2020
BANG 1417242736 1275911026 09/25/2017
Page 922 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11419 QUEENS
2016 1 10007 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2020 2 10038 NEW YORK
2015 1 10591 WESTCHESTER
2013 1 10032 NEW YORK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2013 1 11414 QUEENS
2019 5 12065 SARATOGA
2016 1 10601 WESTCHESTER
Page 923 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ANILESH KATTE B DDS (40.749338, -
73.789673)
828 2137 11
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
KOTHARI RISHI A (41.039278, -
73.805386)
1440 2185 53
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KURILENKO YAKOV DDS (40.749338, -
73.789673)
828 2137 11
SUMITHRA NAMASSIVAYA DDS (43.00894, -
73.786779)
1148 2141 42
JOSEPH LEANZA DDS PC (41.039278, -
73.805386)
1440 2185 53
Page 924 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
37 108
37 108
224
37 108
37 108
37 108
37 111
733
224
Page 925 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST THOMAS
DENTIST ASHOK
DENTIST KLENISE
DENTIST CONSOLACION
DENTIST LOUIS
DENTIST DAVID
DENTIST VIKAS
DENTIST JUAN
DENTIST HOWARD
DENTIST ROBERT
DENTIST MOSHE
DENTIST MARK
DENTIST JILLIAN
DENTIST PROSPER
Page 926 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRAY 1114138062 1114138062 03/17/2017
DOGRA 1689642613 1689642613 05/18/2015
PARANHOS 1013276799 1164555124 11/25/2019
SOBERANO 1316947476 1497700736 09/25/2017
DE SANTIS 1447321096 1164555124 12/23/2019
GLOTZER 1881826469 1164555124 07/05/2021
GOEL 1114233848 1497866933 01/27/2014
DE FEX 1821052317 1821052317 11/04/2019
BACKER 1568663086 1164555124 02/18/2019
DANTI 1982748422 1164555124 02/18/2019
GLICK 1710291620 1710291620 03/17/2017
SCHLESINGER 1669479408 1164555124 03/14/2016
LIM 1790977346 1790977346 12/08/2017
BONSI 1437243441 1437243441 08/24/2015
Page 927 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 12020 SARATOGA
2014 1 11355 QUEENS
2018 3 10010 NEW YORK
2016 1 11692 QUEENS
2018 3 10010 NEW YORK
2020 4 10010 NEW YORK
2013 1 06516 OUT OF STATE
2018 6 11372 QUEENS
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 10033 NEW YORK
2016 1 10010 NEW YORK
2014 1 10029 NEW YORK
2011 1 13820 OTSEGO
Page 928 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRAY THOMAS J DDS (43.00894, -
73.786779)
1148 2141 42
DOGRA ASHOK K DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMANDEEP ARORA DDS PC
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GLICK MOSHE (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LIM JILLIAN DMD (40.726966, -
74.005966)
737 2095 50
BONSI PROSPER KOFI DMD (42.564852, - 432 2136 44
Page 929 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
733
37 111
37 108
37 111
37 108
37 108
37 111
37 108
37 108
37 108
37 108
37 108
529
Page 930 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GEORGE
DENTIST MEREDETH
DENTIST PETER
DENTIST KATHERINE
DENTIST NAIDA
DENTIST NATALIA
DENTIST RUFINA
DENTIST MATTHEW
DENTIST ANZHELA
DENTIST LEONARD
DENTIST ALEX
DENTIST JOSEPH
DENTIST THOMAS
Page 931 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FREUD 1780726885 1265657662 11/02/2015
GLENN 1427049022 1023024882 08/17/2015
LOOMER 1508082819 1164555124 04/25/2016
KIM 1851553259 1851553259 12/09/2019
HENRIQUEZ 1770645640 1467487637 07/16/2012
ELSON 1639496094 1164555124 03/07/2016
LOUIS 1578787933 1578787933 12/03/2018
HANNA 1750608782 1053482067 05/29/2017
TKACHUK 1023008786 1649318601 04/08/2019
CHIAT 1760486799 1164555124 07/05/2021
HUNG 1760758262 1245334564 09/04/2017
DEBIASE 1407155088 1265707491 11/09/2015
GIUGLIANO 1932276813 1164555124 01/20/2020
Page 932 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 12550 ORANGE
2014 1 10520 WESTCHESTER
2016 1 10010 NEW YORK
2018 5 10705 WESTCHESTER
2011 1 10562 WESTCHESTER
2016 1 10010 NEW YORK
2014 1 11385 QUEENS
2016 1 11794 SUFFOLK
2014 1 10305 RICHMOND
2020 5 10010 NEW YORK
2016 1 10901 ROCKLAND
2015 1 12754 SULLIVAN
2018 3 10010 NEW YORK
Page 933 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.060334)
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
NORTH CENTRAL BRONX (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIM KATHERINE KYUNGMIN DDS (41.039278, -
73.805386)
1440 2185 53
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LOUIS RUFINA DDS (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
SAND LANE DENTAL PC (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LDFCB DENTISTRY LLC (41.127287, -
74.017033)
1546 628 27
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 934 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
224
37 108
224
224
37 108
37 111
137
37 7
37 108
154
283
37 108
Page 935 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALISON
DENTIST JAMES
DENTIST NEENA
DENTIST GABRIEL
DENTIST MICHAEL
DENTIST JOEL
DENTIST NEENA
DENTIST EUGENE
DENTIST BRIGETTE
DENTIST JOSEPH
DENTIST PAULETTE
DENTIST FELIPE
DENTIST AARON
Page 936 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADLER 1134482102 1063480218 03/26/2018
UYANIK 1992843734 1164555124 08/31/2020
BHATTY 1356417208 1467487637 07/05/2021
TERZANO 1447467956 1295729408 06/25/2012
WOLOV 1003824863 1164555124 08/17/2020
GREEN 1952561219 1679587679 10/09/2017
BHATTY 1356417208 1467487637 08/19/2019
BASS 1730108580 1164555124 08/24/2020
MORALES 1134101652 1134101652 05/01/2017
SIMONETTI 1003035502 1003035502 03/12/2019
PORTEOUS-COLE 1053494112 1285893719 08/28/2017
VARGAS 1003946815 1003946815 08/19/2016
BRODY 1700188208 1669470019 10/29/2012
Page 937 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 3 10950 ORANGE
2019 4 10010 NEW YORK
2020 5 10562 WESTCHESTER
2011 1 12428 ULSTER
2019 4 10010 NEW YORK
2016 1 10038 NEW YORK
2018 4 10562 WESTCHESTER
2019 4 10010 NEW YORK
2013 1 11691 QUEENS
2014 1 11717 SUFFOLK
2015 2 10573 WESTCHESTER
2012 1 11421 QUEENS
2012 1 10977 ROCKLAND
Page 938 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MORALES BRIGETTE (40.749338, -
73.789673)
828 2137 11
SIMONETTI JOSEPH ANTHONY DDS (40.820237, -
73.119032)
1421 2179 3
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
VARGAS FELIPE SANTIAGO DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, - 1546 628 27
Page 939 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
37 108
224
198
37 108
37 108
224
37 108
37 111
137
224
37 111
154
Page 940 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LYUBOV
DENTIST HEEYEON
DENTIST EVAN
DENTIST NEENA
DENTIST NAEEMA
DENTIST MARTIN
DENTIST ASHOK
DENTIST MAURA
DENTIST ARTHUR
DENTIST LAWRENCE
DENTIST RICHARD
DENTIST ROBERT
DENTIST ARTHUR
Page 941 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KRUT 1356331029 1649318601 04/13/2015
LEE 1346640398 1891968012 03/07/2016
BARBAKOFF 1609051606 1720160690 11/02/2015
BHATTY 1356417208 1467487637 10/01/2018
BHUIYA 1124024567 1427063270 08/10/2015
BOORIN 1043216435 1053482067 09/15/2014
CHAINANI 1669643474 1669643474 10/06/2017
SULLIVAN-MALONEY 1376844282 1306954631 03/12/2018
GOREN 1518114438 1164555124 01/06/2020
COHEN 1942431531 1164555124 11/25/2019
HERMAN 1194728857 1689669079 05/07/2012
DANTI 1982748422 1164555124 03/07/2016
GOREN 1518114438 1164555124 02/18/2019
Page 942 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10305 RICHMOND
2015 1 10038 NEW YORK
2014 2 11722 SUFFOLK
2016 3 10562 WESTCHESTER
2014 1 11432 QUEENS
2014 1 11794 SUFFOLK
2013 1 10304 RICHMOND
2016 3 11101 QUEENS
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2011 1 12550 ORANGE
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
Page 943 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.017033)
SAND LANE DENTAL PC (40.566763, -
74.148102)
609 2139 47
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
LINCOLN MEDICAL/MENTAL HLTH (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
CHAINANI ASHOK NANIKRAM DDS (40.566763, -
74.148102)
609 2139 47
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 944 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 7
37 108
137
224
37 111
137
37 7
37 111
37 108
37 108
76
37 108
37 108
Page 945 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SHELDON
DENTIST DUANE
DENTIST PILAR
DENTIST FRED
DENTIST WAI
DENTIST NORMAN
DENTIST PAYAM
DENTIST ILA
DENTIST JUNOH
DENTIST STEVEN
DENTIST SUBHADRA
DENTIST STEVEN
DENTIST LAWRENCE
Page 946 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
STACHEL 1003917139 1467469023 05/09/2016
CULOTTA 1356511943 1164555124 02/18/2019
GAMBOA 1063411403 1497700736 02/10/2014
PUCCIO 1114038460 1164555124 11/18/2019
CHAN 1104185784 1912225236 08/17/2015
SORKIN 1518016153 1164555124 08/24/2020
KASHANI 1154413177 1801803903 10/11/2021
HERCULES 1801991716 1306954631 12/07/2015
KIM 1285072298 1912225236 12/25/2017
CHO 1326034380 1013924372 08/31/2015
TOPRANI 1225175904 1225175904 01/12/2015
KOLLANDER 1841280724 1841280724 03/17/2017
COHEN 1942431531 1164555124 02/18/2019
Page 947 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10038 NEW YORK
2017 2 10010 NEW YORK
2013 1 11692 QUEENS
2018 2 10010 NEW YORK
2015 2 13501 ONEIDA
2019 4 10010 NEW YORK
2021 4 10038 NEW YORK
2014 3 11101 QUEENS
2016 3 14544 YATES
2014 1 10022 NEW YORK
2014 1 12528 ULSTER
2013 1 11385 QUEENS
2017 2 10010 NEW YORK
Page 948 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
WOODHULL MED & MNTL HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
TOPRANI SUBHADRA C DMD (41.848374, -
74.099412)
264 2182 32
KOLLANDER STEVEN A DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 949 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
794
37 108
37 108
37 111
581
37 108
198
37 111
37 108
Page 950 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WALEED
DENTIST DAVID
DENTIST YVES
DENTIST RAVI
DENTIST STEVEN
DENTIST JASON
DENTIST BAPANAIAH
DENTIST ALLA
DENTIST DEBRA
DENTIST HOWARD
DENTIST HUZEFA
DENTIST SERGEY
DENTIST ELIZABETH
Page 951 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SAIDI 1104800432 1104800432 05/04/2015
ARGHAVANI 1083813109 1164555124 11/18/2019
CONTE 1073615894 1073615894 10/26/2020
MADDALI 1528014602 1114178795 09/23/2013
WEISS 1962570978 1962570978 02/26/2019
SOL 1205873312 1205873312 11/02/2015
PENUGONDA 1043460595 1164555124 03/14/2016
LITVINOVA 1144311309 1144311309 04/29/2013
FERRAIOLO 1942223516 1164555124 07/05/2021
BACKER 1568663086 1164555124 11/25/2019
TALIB 1982981601 1164555124 03/14/2016
LITVINOV 1538250782 1538250782 04/29/2013
MITRANI 1982850947 1124334826 01/14/2013
Page 952 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 11102 QUEENS
2018 3 10010 NEW YORK
2019 3 11432 QUEENS
2013 1 10032 NEW YORK
2014 1 11106 QUEENS
2014 2 11372 QUEENS
2016 1 10010 NEW YORK
2012 1 10039 NEW YORK
2020 5 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10039 NEW YORK
2012 1 10027 NEW YORK
Page 953 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SAIDI WALEED M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CONTE YVES DDS (40.749338, -
73.789673)
828 2137 11
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
WEISS STEVEN (40.749338, -
73.789673)
828 2137 11
SOL DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LITVINOVA ALLA V DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LITVINOV SERGEY E DDS (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, - 737 2095 50
Page 954 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 111
37 108
37 111
37 111
37 108
37 108
37 108
37 108
37 108
37 108
37 108
Page 955 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IQBAL
DENTIST COLLEEN
DENTIST PASQUALE
DENTIST ARNOLD
DENTIST GUS
DENTIST EARL
DENTIST DOINA
DENTIST STEPHEN
DENTIST JESSICA
DENTIST KEZIA
DENTIST ANTHONY
DENTIST DAVID
DENTIST HOWARD
Page 956 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SAYED 1134307747 1134307747 04/25/2016
WATSON 1316086184 1164555124 02/25/2019
BILELLO 1811076169 1811076169 01/21/2013
LIEBMAN 1609960525 1164555124 01/06/2020
MONIOUDIS 1124005970 1760436190 07/23/2012
CLARKSON 1659397578 1467469023 03/22/2021
COMAN 1881676310 1881676310 01/14/2019
LASKY 1538158290 1538158290 12/22/2014
MARN 1033221759 1699076083 10/06/2017
JACOB 1497136550 1932453172 09/25/2017
GREEN 1972584969 1972584969 04/29/2013
SHEINKOPF 1174568174 1023024882 02/26/2018
SILVERMAN 1528166030 1164555124 02/25/2019
Page 957 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11772 SUFFOLK
2017 2 10010 NEW YORK
2012 1 11385 QUEENS
2018 3 10010 NEW YORK
2011 1 10001 NEW YORK
2020 3 10038 NEW YORK
2016 2 11385 QUEENS
2014 1 10310 RICHMOND
2013 1 10013 NEW YORK
2016 1 24060 OUT OF STATE
2012 1 11432 QUEENS
2016 1 10038 NEW YORK
2017 2 10010 NEW YORK
Page 958 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
PATCHOGUE DENTAL SERVICES PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BILELLO PASQUALE J DMD (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -
74.005966)
737 2095 50
COMAN DOINA DDS (40.749338, -
73.789673)
828 2137 11
LASKY STEPHEN G DDS (40.566763, -
74.148102)
609 2139 47
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
P & R EXECUTIVE DENTAL MANAGEMENT
GREEN ANTHONY TREVOR DDS (40.749338, -
73.789673)
828 2137 11
NORTH CENTRAL BRONX (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 959 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 111
37 108
37 108
37 108
37 111
37 7
37 108
37 111
37 108
37 108
Page 960 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AMIT
DENTIST ROBERT
DENTIST SARAMMA
DENTIST RICHARD
DENTIST TARA
DENTIST EUGEN
DENTIST JUAN
DENTIST LUZ
DENTIST NICHOLAS
DENTIST HELEN
DENTIST EMILIE
DENTIST AARON
DENTIST LOURDES
Page 961 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAJANI 1316175813 1467486449 07/21/2014
HOROWITZ 1316029614 1164555124 08/24/2020
ABRAHAM 1639220536 1639220536 06/22/2015
KOSOFSKY 1467675470 1164555124 02/18/2019
BYRD 1740418714 1164555124 11/25/2019
POP 1124126586 1265707491 11/02/2015
DE FEX 1821052317 1821052317 06/29/2015
FILION 1548259120 1548259120 03/11/2013
SCHELLATI 1871735894 1669777389 11/02/2015
WEINBERG 1770779449 1770779449 09/23/2013
FONG 1245358191 1164555124 08/24/2020
WICKS 1790978971 1790978971 05/05/2014
ALBANDOZ 1538316385 1538316385 05/21/2021
Page 962 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 10035 NEW YORK
2019 4 10010 NEW YORK
2015 1 10801 WESTCHESTER
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2015 1 11704 SUFFOLK
2014 2 11372 QUEENS
2012 1 11372 QUEENS
2014 1 14564 ONTARIO
2013 1 11367 QUEENS
2019 3 10010 NEW YORK
2013 1 10027 NEW YORK
2017 3 11368 QUEENS
Page 963 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
S ABRAHAM DDS PC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (40.820237, -
73.119032)
1421 2179 3
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
FILION LUZ A DDS (40.749338, -
73.789673)
828 2137 11
NICHOLAS J SCHELLATI DDS PLLC (42.894571, -
77.252045)
178 2133 54
WEINBERG HELEN DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WICKS AARON J DDS (40.726966, -
74.005966)
737 2095 50
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
Page 964 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
224
37 108
37 108
137
37 111
37 111
691
37 111
37 108
37 108
37 111
Page 965 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NINA
DENTIST JYOTHI
DENTIST AMIN
DENTIST ANGELO
DENTIST DMITRY
DENTIST YURIY
DENTIST SAMINA
DENTIST IAN
DENTIST DEBRA
DENTIST NEESHA
DENTIST JUNG-MIN
DENTIST JOSEPHINE
DENTIST JOANA
Page 966 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LARACUENTE 1609056068 1609056068 11/26/2012
KAVURI 1548271836 1619969458 06/04/2018
AYOUB 1235561788 1164555124 11/18/2019
CHIARENZA 1306848452 1801803903 05/09/2016
GERBER 1063502359 1063502359 05/21/2018
YUSUPOV 1760637672 1043224355 03/05/2018
HAQUE 1780891192 1780891192 09/29/2014
PASCH 1407845480 1407088008 02/18/2013
FISCHOFF 1366847329 1164555124 07/05/2021
DUGGAL 1295820710 1295820710 02/21/2020
KIM 1174679740 1174679740 11/02/2015
LOMANGINO-CHEUNG 1750431631 1164555124 03/21/2016
FORSEA 1417368283 1164555124 08/24/2020
Page 967 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11370 QUEENS
2016 3 10924 ORANGE
2018 3 10010 NEW YORK
2015 1 10038 NEW YORK
2016 1 10002 NEW YORK
2016 1 10038 NEW YORK
2013 1 11432 QUEENS
2012 1 10001 NEW YORK
2020 4 10010 NEW YORK
2014 1 12790 SULLIVAN
2014 2 10001 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
Page 968 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LARACUENTE NINA B DDS (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
VENIAMINOVICK GERBER DMITRY (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
HAQUE SAMINA DDS (40.749338, -
73.789673)
828 2137 11
IAN D PASCH D D S P C (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DUGGAL NEESHA DDS (41.705166, -
74.711705)
1024 2180 32
KIM JUNG-MIN DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 969 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
76
37 108
37 108
37 108
37 108
37 111
37 108
37 108
283
37 108
37 108
37 108
Page 970 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEVEN
DENTIST ARGIRO
DENTIST STUART
DENTIST LUCRETIA
DENTIST URSZULA
DENTIST DERRICK
DENTIST MICHAEL
DENTIST JANET
DENTIST RODOLFO
DENTIST MARINA
DENTIST PAYAM
DENTIST LEIGH
DENTIST EYAL
Page 971 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
IZZO 1750379699 1750379699 03/25/2013
PAPANDRIKOS-BAYIOKOS 1922182179 1033124961 02/19/2018
HIRSCH 1760606222 1164555124 03/07/2016
DEPAOLA-CEFOLA 1225133010 1164555124 11/18/2019
KOROL 1417170630 1164555124 07/05/2021
CHEN 1851530844 1851530844 03/18/2013
KATZ 1265675565 1164555124 12/23/2019
BODEY 1568504538 1528201613 12/16/2013
WERT 1720147200 1720147200 12/22/2015
SHRAGA 1023227642 1023227642 08/05/2013
KASHANI 1154413177 1801803903 09/07/2020
BUSCH 1366519993 1164555124 02/18/2019
WALDMAN 1386778645 1386778645 05/26/2014
Page 972 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 2 11385 QUEENS
2016 1 10038 NEW YORK
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 11354 QUEENS
2018 2 10010 NEW YORK
2013 1 10032 NEW YORK
2012 2 10033 NEW YORK
2013 1 11416 QUEENS
2019 2 10038 NEW YORK
2017 2 10010 NEW YORK
2013 1 11772 SUFFOLK
Page 973 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CHEN DERRICK YIN SAU (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MANHATTAN ORAL FACIAL SURGERY LLC (40.726966, -
74.005966)
737 2095 50
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
SHRAGA MARINA DDS (40.749338, -
73.789673)
828 2137 11
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WALDMAN EYAL D DDS (40.820237, -
73.119032)
1421 2179 3
Page 974 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 108
37 108
37 111
37 108
37 108
37 108
37 111
37 108
37 108
137
Page 975 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RONALD
DENTIST HAROLD
DENTIST BARNETT
DENTIST JOSE
DENTIST JOSE
DENTIST RICHARD
DENTIST AMIN
DENTIST EVAN
DENTIST ALLAN
DENTIST HERMAN
DENTIST GERALD
DENTIST AISHA
DENTIST HERBERT
Page 976 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUTMAN 1649324757 1245498500 05/20/2021
STRAUSS 1427265644 1164555124 12/23/2019
BUCKLAM 1689805350 1164555124 03/07/2016
ANGELES 1124246590 1124246590 08/13/2018
DUVAL 1366618639 1366618639 08/19/2016
DENNIS 1467654178 1467654178 09/24/2012
AYOUB 1235561788 1164555124 03/14/2016
BARBAKOFF 1609051606 1720160690 05/20/2016
GRAYSON 1598887440 1164555124 04/25/2016
SALCEDO 1689713000 1689713000 12/16/2013
HOCH 1891990248 1164555124 01/06/2020
TOURE 1114182854 1669568465 04/23/2018
WESTRICH 1194103887 1164555124 08/24/2020
Page 977 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10128 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11691 QUEENS
2012 1 10033 NEW YORK
2012 1 12866 SARATOGA
2016 1 10010 NEW YORK
2014 2 11722 SUFFOLK
2016 1 10010 NEW YORK
2013 1 10029 NEW YORK
2018 3 10010 NEW YORK
2015 2 14456 ONTARIO
2019 4 10010 NEW YORK
Page 978 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ANGELES JOSE RAFAEL DDS (40.749338, -
73.789673)
828 2137 11
DUVAL JOSE MIGUEL DDS (40.726966, -
74.005966)
737 2095 50
DENNIS RICHARD DMD (43.00894, -
73.786779)
1148 2141 42
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SALCEDO HERMAN FRANCISCO (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 979 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
37 108
733
37 108
137
37 108
37 108
37 108
691
37 108
Page 980 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RACHEL
DENTIST FARHAN
DENTIST LOREANE
DENTIST ANA
DENTIST MYRON
DENTIST ROBERT
DENTIST NORMAN
DENTIST ADAM
DENTIST MOHAMMED
DENTIST HEIDI
DENTIST MOHAMMAD
DENTIST ROBERT
DENTIST ARVIND
Page 981 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GANDLER 1770830838 1639247653 07/07/2014
KAZMI 1568745578 1467505529 02/10/2014
ENGELHARDT 1639297823 1144273996 08/31/2015
SUAREZ-TIBURCIO 1356684062 1932453172 09/04/2017
GURMAN 1437215563 1679587679 08/03/2015
GEDEON 1538257001 1356457303 01/11/2016
ROSENBLUM 1902904667 1164555124 08/31/2020
MASLOW 1013049592 1013049592 08/05/2019
KHAIR 1831310234 1396711982 06/01/2015
HANSEN 1063655967 1952332801 12/17/2012
SADEGHI 1568517431 1033124961 01/25/2021
EYCKMANS 1447261128 1447261128 11/27/2017
SHAH 1336275569 1336275569 01/06/2014
Page 982 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11106 QUEENS
2013 1 11372 QUEENS
2014 3 11787 SUFFOLK
2016 1 10029 NEW YORK
2014 1 11362 QUEENS
2015 1 14301 NIAGARA
2019 4 10010 NEW YORK
2015 1 11743 SUFFOLK
2014 3 12307 SCHENECTADY
2012 1 10032 NEW YORK
2020 3 10038 NEW YORK
2015 4 10029 NEW YORK
2013 1 10009 NEW YORK
Page 983 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHOENIX HOUSE FOUNDATION INC (40.749338, -
73.789673)
828 2137 11
CENTRO DENTAL FAMILIAR PC (40.749338, -
73.789673)
828 2137 11
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
P & R EXECUTIVE DENTAL MANAGEMENT (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.749338, -
73.789673)
828 2137 11
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MASLOW ADAM M DMD (40.820237, -
73.119032)
1421 2179 3
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
SHAH ARVIND P DDS (40.726966, -
74.005966)
737 2095 50
Page 984 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
137
37 108
37 111
835
37 108
137
617
37 108
37 108
37 108
37 108
Page 985 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GEORGE
DENTIST RICHARD
DENTIST ERROL
DENTIST ANALIA
DENTIST HOPE
DENTIST NORMAN
DENTIST NATALIA
DENTIST BHARAT
DENTIST KETLY
DENTIST MICHAEL
DENTIST ALLAN
DENTIST MICHAEL
DENTIST PELIN
Page 986 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
XENAKIS 1407045594 1851328199 10/07/2013
GRUFFI 1093952236 1689669079 05/27/2013
WILSON 1649288978 1619969458 03/25/2013
KEENAN 1801979950 1164555124 02/18/2019
ARNOLDT 1225122641 1720160690 05/20/2016
ROSENBLUM 1902904667 1164555124 11/25/2019
ELSON 1639496094 1164555124 02/18/2019
JOSHI 1629072186 1164555124 03/14/2016
NINO 1730285388 1730285388 08/14/2017
LIN 1750586640 1164555124 04/25/2016
KUCINE 1649314006 1053482067 08/14/2017
FERGUSON 1639227424 1164555124 02/18/2019
SAHINLER-LYNCH 1578539458 1578539458 10/28/2013
Page 987 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 10025 NEW YORK
2012 2 12550 ORANGE
2012 1 10924 ORANGE
2017 2 10010 NEW YORK
2014 2 11722 SUFFOLK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11432 QUEENS
2016 1 11362 QUEENS
2016 1 11794 SUFFOLK
2017 2 10010 NEW YORK
2013 1 11743 SUFFOLK
Page 988 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
HUDSON RIVER HEALTHCARE INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NINO KETLY (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SAHINLER-LYNCH PELIN (40.820237, -
73.119032)
1421 2179 3
Page 989 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
76
76
37 108
137
37 108
37 108
37 108
37 111
37 111
137
37 108
137
Page 990 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAMES
DENTIST WAYNE
DENTIST RAHA
DENTIST PEDRO
DENTIST NABIL
DENTIST MICHELLE
DENTIST SVETLANA
DENTIST SUSAN
DENTIST JOAN
DENTIST BELLA
DENTIST DEBRA
DENTIST JENNIFER
DENTIST JOANA
Page 991 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UYANIK 1992843734 1164555124 04/04/2016
KYE 1154430965 1164555124 08/17/2020
IRAJ 1760545164 1285893719 07/16/2012
HERNANDEZ 1275625824 1275625824 12/02/2013
FARRA 1427260272 1427260272 11/02/2018
WISNIEWSKI 1649610122 1912225236 01/22/2018
SHAPIRO 1184818429 1184818429 08/05/2013
FRIEDMAN 1720255177 1164555124 08/24/2020
GRCEVIC 1346221496 1467487637 07/05/2021
NORMATOV 1487764999 1487764999 11/24/2014
FERRAIOLO 1942223516 1164555124 01/20/2020
MACKEY 1235571423 1629365846 12/07/2015
FORSEA 1417368283 1164555124 03/07/2016
Page 992 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2011 1 10573 WESTCHESTER
2013 1 10040 NEW YORK
2014 1 10543 WESTCHESTER
2016 3 13501 ONEIDA
2013 1 10040 NEW YORK
2019 4 10010 NEW YORK
2020 3 10562 WESTCHESTER
2014 1 11375 QUEENS
2018 3 10010 NEW YORK
2014 1 11763 SUFFOLK
2016 1 10010 NEW YORK
Page 993 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
HERNANDEZ PEDRO JOSE (40.726966, -
74.005966)
737 2095 50
FARRA SAMARNEH NABIL E DDS (41.039278, -
73.805386)
1440 2185 53
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
SHAPIRO SVETLANA (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NORMATOV BELLA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAIO DENTAL PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 994 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
224
37 108
224
794
37 108
37 108
224
37 111
37 108
137
37 108
Page 995 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALAN
DENTIST THOMAS
DENTIST JUNOH
DENTIST JOSE
DENTIST ROBERT
DENTIST HOWARD
DENTIST BRADLEY
DENTIST DUTRAN
DENTIST KENNETH
DENTIST FARHAD
DENTIST NIRA
DENTIST ROBERT
DENTIST HOWARD
Page 996 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FRIEDMAN 1700023223 1164555124 03/21/2016
LOVETERE 1710072517 1164555124 04/25/2016
KIM 1285072298 1912225236 11/02/2015
ROA 1205828423 1205828423 03/06/2017
LOPATKIN 1952462889 1952462889 09/23/2013
SILVERMAN 1528166030 1164555124 03/14/2016
HIRSCH 1174573976 1124334826 11/25/2013
DO 1053490961 1063426377 01/20/2020
ALLEN 1902957475 1164555124 02/18/2019
VAHIDI 1588846356 1164555124 07/17/2017
DWIVEDI 1497935704 1669470019 10/22/2012
RUBIN 1750447785 1750447785 10/07/2013
SILVERMAN 1528166030 1164555124 08/24/2020
Page 997 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10028 NEW YORK
2016 1 10010 NEW YORK
2015 2 14544 YATES
2012 1 11373 QUEENS
2013 1 11105 QUEENS
2016 1 10010 NEW YORK
2013 2 10027 NEW YORK
2018 2 10038 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 11361 QUEENS
2013 1 11691 QUEENS
2019 4 10010 NEW YORK
Page 998 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
ROA JOSE ARISTIDES DDS (40.749338, -
73.789673)
828 2137 11
LOPATKIN ROBERT J DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (40.749338, -
73.789673)
828 2137 11
FAR ROCKAWAY ORTHODONTICS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 999 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
581
37 111
37 111
37 108
37 108
37 108
37 108
37 108
37 111
37 111
37 108
Page 1000 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CARLOS
DENTIST MELVYN
DENTIST HSIAO
DENTIST PARUL
DENTIST MEREDITH
DENTIST NUZHAT
DENTIST MAYNARD
DENTIST CHRISTOPHER
DENTIST ILA
DENTIST MARTIN
DENTIST SUSAN
DENTIST ROSS
DENTIST MELISSA
Page 1001 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OVALLE 1790988939 1790988939 12/16/2019
SEGAL 1740428721 1164555124 02/25/2019
CHEN 1003140161 1891968012 07/14/2014
MAKKAR 1649468539 1649468539 01/22/2018
JAFFE 1619007929 1144273996 12/10/2012
SIDDIQUI 1770560344 1770560344 02/15/2016
GOLDBERG 1154489367 1164555124 02/18/2019
LEHFELDT 1700996287 1669568465 09/02/2013
HERCULES 1801991716 1306954631 08/11/2014
PRAGER 1952440331 1164555124 01/20/2020
HOLIDAY 1194939355 1558533828 01/19/2015
GRUBER 1720188071 1053482067 05/18/2015
NOEL 1396936159 1508850280 12/07/2015
Page 1002 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 10033 NEW YORK
2017 2 10010 NEW YORK
2013 1 10038 NEW YORK
2013 1 11419 QUEENS
2012 1 11743 SUFFOLK
2015 1 11746 SUFFOLK
2017 2 10010 NEW YORK
2012 1 14551 WAYNE
2013 2 11101 QUEENS
2018 3 10010 NEW YORK
2014 1 10952 ROCKLAND
2014 1 11794 SUFFOLK
2014 1 13142 OSWEGO
Page 1003 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OVALLE CARLOS MANUEL DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
MAKKAR PARUL DUA DDS (40.749338, -
73.789673)
828 2137 11
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
SIDDIQUI NUZHAT HAROON DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (43.144336, -
77.117995)
318 631 54
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -
76.31133)
623 2135 41
Page 1004 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
137
137
37 108
809
37 111
37 108
154
137
533
Page 1005 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ISABEL
DENTIST LAWRENCE
DENTIST ROBERT
DENTIST ARTHUR
DENTIST CURTIS
DENTIST JEROME
DENTIST BENJAMIN
DENTIST MAURA
DENTIST ARMIN
DENTIST RICHARD
DENTIST JUAN
DENTIST ROBERT
DENTIST ALMA
Page 1006 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ULERIO-BONILLA 1346338712 1346338712 11/22/2016
HIRSCH 1073595534 1073595534 12/02/2013
GUREASKO 1134337389 1164555124 08/17/2020
KUBIKIAN 1235175407 1164555124 07/05/2021
JOHNSON 1942303300 1942303300 10/29/2012
KAPLAN 1770715708 1164555124 01/06/2020
GODDER 1871713610 1164555124 11/25/2019
SULLIVAN-MALONEY 1376844282 1306954631 09/25/2017
LALEHZARI 1003020256 1003020256 12/24/2012
YANG 1932127586 1245401322 02/09/2017
TAVERAS 1538212287 1538212287 11/22/2016
WENDT 1427046606 1366613317 09/24/2012
SOSA 1316015324 1316015324 08/19/2013
Page 1007 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10034 NEW YORK
2013 1 11374 QUEENS
2019 4 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 11369 QUEENS
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2015 2 11101 QUEENS
2012 1 11372 QUEENS
2013 2 11355 QUEENS
2012 1 10033 NEW YORK
2011 1 11901 SUFFOLK
2013 1 10040 NEW YORK
Page 1008 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ULERIO BONILLA YSABEL DDS (40.726966, -
74.005966)
737 2095 50
HIRSCH LAWRENCE M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOHNSON CURTIS M DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
LALEHZARI ARMIN DDS (40.749338, -
73.789673)
828 2137 11
EMPRESS DENTAL SERVICE PLLC (40.749338, -
73.789673)
828 2137 11
TAVERAS JUAN CARLOS DDS (40.726966, -
74.005966)
737 2095 50
STATION ASSOCIATES INC (40.820237, -
73.119032)
1421 2179 3
SOSA ALMA VIVIAN DDS (40.726966, -
74.005966)
737 2095 50
Page 1009 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
37 111
37 108
37 108
37 111
37 111
37 111
37 108
137
37 108
Page 1010 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SAMAR
DENTIST DAVID
DENTIST FRANK
DENTIST ANDRE
DENTIST JOHN
DENTIST QUAZI
DENTIST CAROLE
DENTIST ZHILING
DENTIST JACQUELINE
DENTIST EMMETT
DENTIST LINDA
DENTIST ALBERT
DENTIST CONSUELO
Page 1011 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TANNOUS 1487803243 1164555124 02/25/2019
ARGHAVANI 1083813109 1164555124 02/18/2019
MESA 1598931404 1598931404 11/17/2014
MONTAZEM 1740242437 1063426377 04/13/2020
COMO 1649304718 1164555124 01/06/2020
SATTER 1588653166 1568611721 10/29/2012
PIERRE 1306908025 1306908025 06/23/2014
MEI 1205853280 1548208127 03/05/2018
SOBOTA 1669603411 1700943750 08/04/2014
ROBINSON 1174771240 1215978960 08/06/2012
ROSENBERG 1134329568 1164555124 02/25/2019
SUN 1275765554 1063480218 12/09/2013
POVEDA 1942308366 1942308366 11/25/2013
Page 1012 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2014 1 10801 WESTCHESTER
2019 4 10038 NEW YORK
2018 3 10010 NEW YORK
2012 1 11373 QUEENS
2013 2 11427 QUEENS
2016 1 10038 NEW YORK
2013 1 10543 WESTCHESTER
2011 1 10036 NEW YORK
2017 2 10010 NEW YORK
2013 1 10950 ORANGE
2013 1 11372 QUEENS
Page 1013 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MESA FRANK DDS (41.039278, -
73.805386)
1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TODAYS DENTAL NY PC (40.749338, -
73.789673)
828 2137 11
PIERRE CAROLE MARIE (40.749338, -
73.789673)
828 2137 11
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
RYAN/CHELSEA CLINTON COMM H C (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
POVEDA CONSUELO (40.749338, -
73.789673)
828 2137 11
Page 1014 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
224
37 108
37 108
37 111
37 111
37 108
224
37 108
37 108
76
37 111
Page 1015 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ILEANA
DENTIST STEVEN
DENTIST ARTIN
DENTIST EVELYN
DENTIST ILEANA
DENTIST MICHAEL
DENTIST MARA
DENTIST ANDREW
DENTIST BARBARA
DENTIST JACQUELINE
DENTIST BRUCE
DENTIST ARNOLD
DENTIST BARBARA
Page 1016 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ARIAS-MUNOZ 1831300755 1306954631 08/11/2014
CALLAGHAN 1184668162 1619969458 05/14/2018
SAKHAEE 1154572865 1154572865 05/16/2016
NELSON 1922334473 1164555124 03/14/2016
ARIAS-MUNOZ 1831300755 1306954631 12/25/2017
NATHANS 1649313891 1144403734 09/22/2014
ROSENBERG 1710137039 1225388127 06/27/2016
BOYD 1225325830 1164555124 07/10/2017
SLASKA 1306053533 1164555124 08/24/2020
AGUILAR 1689868242 1467486449 05/02/2016
BRANDOLIN 1669686176 1164555124 11/25/2019
POLLIKOFF 1053543629 1164555124 11/18/2019
SLASKA 1306053533 1164555124 07/05/2021
Page 1017 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 2 11101 QUEENS
2015 2 10977 ROCKLAND
2016 1 11415 QUEENS
2016 1 10010 NEW YORK
2016 5 11375 QUEENS
2013 1 10543 WESTCHESTER
2016 1 12550 ORANGE
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2015 1 10035 NEW YORK
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2020 5 10010 NEW YORK
Page 1018 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.127287, -
74.017033)
1546 628 27
SAKHAEE ARTIN (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
CIRCLE FAMILY DENTAL PC (41.039278, -
73.805386)
1440 2185 53
COUNTY DENTAL AT NEWBURGH PLLC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1019 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
154
37 111
37 108
37 111
224
76
37 108
37 108
37 108
37 108
37 108
37 108
Page 1020 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ADRIAN
DENTIST DANIELLE
DENTIST MOLIE
DENTIST WILLIAM
DENTIST MAFUJUL
DENTIST NURAY
DENTIST ZAHRA
DENTIST HOOMAN
DENTIST SADREDINE
DENTIST MAHESHKUMAR
DENTIST ROMAN
DENTIST DAVID
DENTIST BENJAMIN
Page 1021 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILSON 1518194901 1467486449 01/14/2013
ZEIFMAN 1609217744 1447398334 04/13/2015
XU 1639516693 1912225236 02/23/2015
PERUSO 1093897969 1720160690 05/20/2016
HASAN 1528057684 1699923540 12/10/2012
OZU 1740465061 1164555124 03/21/2016
BAGHERI 1851710719 1164555124 03/07/2016
NEMAN 1548388317 1548388317 12/24/2012
SHADMAN 1871775312 1619969458 05/28/2018
SHAH 1710939434 1710939434 01/21/2013
TRAKHTENBERG 1528280245 1528280245 05/21/2018
LEVENSON 1497959837 1164555124 03/14/2016
GEISLER 1477893311 1467487637 07/05/2021
Page 1022 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10035 NEW YORK
2014 1 11364 QUEENS
2014 1 14489 WAYNE
2014 2 11722 SUFFOLK
2012 1 11104 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 11372 QUEENS
2016 3 10705 WESTCHESTER
2012 1 10029 NEW YORK
2016 1 10028 NEW YORK
2016 1 10010 NEW YORK
2020 4 10562 WESTCHESTER
Page 1023 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
MIDDLE VILLAGE DENTAL GROUP LLP (40.749338, -
73.789673)
828 2137 11
RUSHVILLE HEALTH CENTER INC (43.144336, -
77.117995)
318 631 54
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
DHAKA DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEMAN HOOMAN M DDS (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
SHAH MAHESHKUMAR KANTILAL DDS (40.726966, -
74.005966)
737 2095 50
TRAKHTENBERG ROMAN DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
Page 1024 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
809
137
37 111
37 108
37 108
37 111
224
37 108
37 108
37 108
224
Page 1025 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST COLLEEN
DENTIST SARAH
DENTIST REBECCA
DENTIST MELVIN
DENTIST MONWARA
DENTIST IRWIN
DENTIST SAMAR
DENTIST HARRY
DENTIST ROBERT
DENTIST JEFFREY
DENTIST DEBORAH
DENTIST MELISSA
DENTIST STEVEN
Page 1026 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WATSON 1316086184 1164555124 08/24/2020
HANNA 1811010697 1972681484 10/01/2012
FEDER-STAMLER 1528352226 1124334826 05/05/2014
RIVERA 1598809857 1467505529 11/16/2015
HALIM 1679613814 1679613814 03/24/2014
ZANDMAN 1750598082 1750598082 02/18/2019
TANNOUS 1487803243 1164555124 03/21/2016
MEEKER 1073757894 1164555124 03/14/2016
EYCKMANS 1447261128 1447261128 04/30/2018
BLYE 1912138603 1164555124 11/25/2019
NINA 1235220229 1881991214 12/16/2013
GLASS 1700134954 1669470019 03/25/2013
IZZO 1750379699 1750379699 02/09/2017
Page 1027 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2012 1 10952 ROCKLAND
2013 1 10027 NEW YORK
2014 1 11372 QUEENS
2013 1 11432 QUEENS
2017 3 10029 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2016 5 10029 NEW YORK
2018 3 10010 NEW YORK
2013 1 11372 QUEENS
2012 1 10977 ROCKLAND
2013 3 11385 QUEENS
Page 1028 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
CENTRO DENTAL FAMILIAR PC (40.749338, -
73.789673)
828 2137 11
HALIM MONWARA KHATOON DDS (40.749338, -
73.789673)
828 2137 11
ZANDMAN I HARVEY (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DEBORAH NINA DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
Page 1029 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
154
37 108
37 111
37 111
37 108
37 108
37 108
37 108
37 108
37 111
154
37 111
Page 1030 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WILLIAM
DENTIST KENNETH
DENTIST JULIE
DENTIST DIKLA
DENTIST THERESE
DENTIST DAVID
DENTIST STEPHEN
DENTIST DAWN
DENTIST LOURDES
DENTIST LINDA
DENTIST RAMESH
DENTIST MOHAMMED
DENTIST MARTIN
Page 1031 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HURWITZ 1811168867 1164555124 08/24/2020
MAGID 1235141045 1164555124 08/24/2020
YIP 1114325610 1164555124 03/14/2016
CHAZBANI 1992834360 1043224355 10/04/2021
KHALIL 1962491696 1962491696 05/29/2018
GREENMAN 1316915036 1669817938 08/11/2014
KRUGER 1952359382 1952359382 02/11/2019
CLEMENS 1932207651 1619191855 01/18/2016
ALBANDOZ 1538316385 1538316385 06/27/2016
ROSENBERG 1134329568 1164555124 08/17/2020
THAKKAR 1790733046 1790733046 04/26/2018
SHAHABUDDIN 1245229210 1982880159 11/25/2013
PRAGER 1952440331 1164555124 08/31/2020
Page 1032 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2019 3 10010 NEW YORK
2016 1 10010 NEW YORK
2021 2 10038 NEW YORK
2013 1 10314 RICHMOND
2014 1 11105 QUEENS
2017 2 11361 QUEENS
2015 1 14120 NIAGARA
2015 1 11368 QUEENS
2019 3 10010 NEW YORK
2013 1 11004 QUEENS
2013 2 11106 QUEENS
2019 4 10010 NEW YORK
Page 1033 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
KHALIL THERESE N DDS (40.566763, -
74.148102)
609 2139 47
CORRECTIONAL MEDICAL ASSOCIATES
OF
(40.749338, -
73.789673)
828 2137 11
KRUGER STEPHEN R DDS (40.749338, -
73.789673)
828 2137 11
BAKER VICTORY HEALTHCARE CTR (43.134634, -
78.856419)
1107 2131 62
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
THAKKAR RAMESH J DDS (40.749338, -
73.789673)
828 2137 11
MOHAMMED SHAHABUDDIN DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1034 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 7
37 111
37 111
835
37 111
37 108
37 111
37 111
37 108
Page 1035 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALAN
DENTIST STEVEN
DENTIST NICHOLAS
DENTIST EDUARD
DENTIST DEBRA
DENTIST RONALD
DENTIST MELANI
DENTIST SHAHIN
DENTIST ROGER
DENTIST STEVEN
DENTIST FRANCIS
DENTIST URSZULA
DENTIST ALAN
Page 1036 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WINIK 1659584084 1386714228 11/02/2015
FISHER 1073744652 1164555124 11/18/2019
GIANNUZZI 1659462265 1164555124 07/31/2017
NIYAZOV 1023324787 1023324787 06/16/2014
FISCHOFF 1366847329 1164555124 02/18/2019
SCHWARTZ 1861437014 1356457303 12/30/2019
KAPETANAKOS 1083875975 1164555124 08/07/2017
RAHMANIAN 1952564916 1952564916 09/30/2019
DESROCHES 1659440824 1013924372 09/18/2017
ALEXANDER 1770989931 1770989931 05/16/2016
TUNG 1962536987 1164555124 01/06/2020
KOROL 1417170630 1164555124 12/23/2019
ROSENTHAL 1689688772 1164555124 04/25/2016
Page 1037 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 10595 WESTCHESTER
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 11103 QUEENS
2017 2 10010 NEW YORK
2018 4 14301 NIAGARA
2016 1 10010 NEW YORK
2014 1 11421 QUEENS
2016 1 10038 NEW YORK
2015 1 12804 WARREN
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
Page 1038 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NIYAZOV EDUARD (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAHMANIAN SHAHIN DDS (40.749338, -
73.789673)
828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
ALEXANDER STEVEN P (43.403024, -
73.716044)
128 2183 35
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1039 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 108
37 108
37 111
37 108
835
37 108
37 111
37 108
522
37 108
37 108
37 108
Page 1040 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IBELKA
DENTIST LESLIE
DENTIST WILLIAM
DENTIST NINA
DENTIST EDDY
DENTIST REKHA
DENTIST MITCHELL
DENTIST BHARATI
DENTIST FIOR
DENTIST NORMAN
DENTIST RICHARD
DENTIST JIVTESH
DENTIST RACHEL
Page 1041 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VARGAS 1548465594 1548465594 08/19/2016
ABRAHAM 1598991044 1164555124 08/24/2020
MARTELL 1952510984 1144453952 06/24/2013
KUMAR 1992976401 1295729408 06/25/2012
FERREIRA 1972592012 1972592012 01/21/2013
MATHEW 1992952782 1619969458 03/31/2014
ADLER 1881724557 1881724557 09/21/2017
BEDI 1104885854 1104885854 11/03/2017
RODRIGUEZ 1407993603 1407993603 05/01/2017
ROSENBLUM 1902904667 1164555124 02/25/2019
DOMOZYCH 1447392394 1447392394 09/15/2014
SINGH 1679899348 1487630638 09/02/2013
NOZZI 1093123895 1598707812 07/31/2017
Page 1042 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10033 NEW YORK
2019 4 10010 NEW YORK
2012 1 14067 NIAGARA
2011 1 12401 ULSTER
2012 1 11372 QUEENS
2013 1 10927 ROCKLAND
2013 1 11367 QUEENS
2013 1 11742 SUFFOLK
2013 1 10033 NEW YORK
2017 2 10010 NEW YORK
2014 1 11730 SUFFOLK
2013 1 11729 SUFFOLK
2016 1 14569 WYOMING
Page 1043 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VARGAS IBELKA C DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM J MARTELL (43.134634, -
78.856419)
1107 2131 62
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
FERREIRA-POPA EDDY A DDS (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.127287, -
74.017033)
1546 628 27
ADLER MITCHELL DDS (40.749338, -
73.789673)
828 2137 11
BEDI BHARATI DDS (40.820237, -
73.119032)
1421 2179 3
RODRIGUEZ FIOR BERENY (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DOMOZYCH RICHARD DDS (40.820237, -
73.119032)
1421 2179 3
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
OAK ORCHARD COMM HLTH CTR INC (42.723641, -
78.204473)
415 2186 59
Page 1044 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
835
198
37 111
154
37 111
137
37 108
37 108
137
137
622
Page 1045 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WILLIAM
DENTIST HARMON
DENTIST RONALD
DENTIST GARY
DENTIST MEHREEN
DENTIST JULIAN
DENTIST RICHARD
DENTIST JULIA
DENTIST STEVEN
DENTIST JIN
DENTIST DEBORAH
DENTIST SEIICHI
DENTIST ERIKA
Page 1046 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HURWITZ 1811168867 1164555124 03/14/2016
COOPER 1588636799 1164555124 01/06/2020
KOSINSKI 1942334214 1164555124 02/18/2019
BERKOWITZ 1285812800 1164555124 02/18/2019
CHAUDHARY 1447615778 1497796353 10/09/2017
AUSTIN 1598900854 1497796353 05/13/2013
SALINE 1497775415 1497775415 09/22/2014
ABEND 1740229186 1154463016 11/03/2017
IZZO 1750379699 1750379699 05/14/2012
YOO 1972750552 1164555124 08/31/2020
GAZZILLO 1316194442 1053482067 03/16/2015
YAMANO 1184044661 1164555124 11/18/2019
BRODKIN 1417019845 1467487637 08/21/2017
Page 1047 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 13202 ONONDAGA
2012 1 13202 ONONDAGA
2013 1 11421 QUEENS
2013 1 11323 QUEENS
2011 1 11385 QUEENS
2019 4 10010 NEW YORK
2014 1 11794 SUFFOLK
2018 3 10010 NEW YORK
2015 2 10562 WESTCHESTER
Page 1048 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SYRACUSE COMM HEALTH CTR INC (43.065629, -
76.168033)
713 2132 43
SYRACUSE COMM HEALTH CTR INC (43.065629, -
76.168033)
713 2132 43
SALINE RICHARD C DMD (40.749338, -
73.789673)
828 2137 11
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
Page 1049 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
755
755
37 111
37 111
37 111
37 108
137
37 108
224
Page 1050 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST APRIL
DENTIST SILVIA
DENTIST KING CHONG
DENTIST HEIDI
DENTIST GARY
DENTIST LOREANE
DENTIST KAY
DENTIST MARK
DENTIST NAUSHIR
DENTIST JOSHUA
DENTIST ROGER
DENTIST JUANA
DENTIST DAVID
Page 1051 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHAMPEN 1902810765 1912225236 01/20/2014
SPIVAKOVSKY 1013907674 1164555124 02/25/2019
CHAN 1124436134 1164555124 03/21/2016
HANSEN 1063655967 1952332801 01/22/2018
MINKOWITZ 1639168537 1639168537 04/15/2013
ENGELHARDT 1639297823 1144273996 12/10/2012
OEN 1538390778 1164555124 02/25/2019
BERMAN 1013924414 1619969458 02/05/2018
LALANI 1780674457 1053582544 11/04/2013
CHUBAK 1114272192 1164555124 08/17/2020
WARREN 1396732293 1164555124 03/14/2016
MEDINA 1760532303 1760532303 03/11/2013
ARGHAVANI 1083813109 1164555124 07/10/2017
Page 1052 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 13501 ONEIDA
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2015 3 10032 NEW YORK
2012 1 11378 QUEENS
2012 1 11787 SUFFOLK
2017 2 10010 NEW YORK
2015 2 12561 ULSTER
2013 1 11691 QUEENS
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 11416 QUEENS
2016 1 10010 NEW YORK
Page 1053 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
MINKOWITZ GARY DDS (40.749338, -
73.789673)
828 2137 11
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.848374, -
74.099412)
264 2182 32
NAUSHIR I LALANI DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COLLADO-MEDINA JUANA X DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1054 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
794
37 108
37 108
37 108
37 111
137
37 108
198
37 111
37 108
37 108
37 111
37 108
Page 1055 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HENRY
DENTIST BENN
DENTIST ILA
DENTIST DENISE
DENTIST ROBERT
DENTIST JANET
DENTIST HAYAT
DENTIST MARK
DENTIST HOPE
DENTIST EMMANUELA
DENTIST JOHN
DENTIST AUDREY
DENTIST RICHARD
Page 1056 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KARLIN 1629181375 1508955592 11/06/2017
LIEBERMAN 1255489977 1679587679 05/25/2020
HERCULES 1801991716 1306954631 12/25/2017
ESTAFAN 1346648821 1164555124 07/05/2021
CAMMARATA 1720162225 1164555124 11/25/2019
BOZZONE 1689737231 1467487637 03/12/2018
EZZAT 1477638641 1477638641 06/13/2016
ZHARNITSKY 1538295530 1538295530 08/26/2013
ARNOLDT 1225122641 1720160690 09/23/2013
MENA 1730234154 1730234154 03/02/2015
LETIZIA 1881742567 1881742567 07/25/2016
RAMSAY 1316151699 1316151699 11/02/2015
YANG 1932127586 1245401322 11/18/2013
Page 1057 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10035 NEW YORK
2019 3 10038 NEW YORK
2016 5 11101 QUEENS
2020 5 10010 NEW YORK
2018 3 10010 NEW YORK
2016 3 10562 WESTCHESTER
2015 1 11105 QUEENS
2013 1 11373 QUEENS
2013 1 11722 SUFFOLK
2014 2 10033 NEW YORK
2012 1 10029 NEW YORK
2014 1 10805 WESTCHESTER
2013 2 11355 QUEENS
Page 1058 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PROJECT SAMARITAN HLTH SVCS I (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
EZZAT HAYAT MOHAMED DDS (40.749338, -
73.789673)
828 2137 11
ZHARNITSKY MARK (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
MENA EMMANUELA DDS (40.726966, -
74.005966)
737 2095 50
LETIZIA JOHN FRANK DMD (40.726966, -
74.005966)
737 2095 50
RAMSAY AUDREY THERESA DDS (41.039278, -
73.805386)
1440 2185 53
EMPRESS DENTAL SERVICE PLLC (40.749338, -
73.789673)
828 2137 11
Page 1059 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
224
37 111
37 111
137
37 108
37 108
224
37 111
Page 1060 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MIRIAM
DENTIST GADI
DENTIST DOUGLAS
DENTIST BISSOONLALL
DENTIST ROBERT
DENTIST DALJEET
DENTIST SIMKHA
DENTIST SEUNG-HEE
DENTIST SANDRA
DENTIST JACOB
DENTIST BRUCE
DENTIST JENNIFER
DENTIST MARTIN
Page 1061 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ARONOFF 1730297417 1558533828 01/19/2015
CHIBAMBO SMITH 1710189030 1275624694 12/29/2014
STERNBERG 1760530919 1598707812 05/18/2015
BOODHOO 1942413067 1942413067 08/13/2018
GOTTLIEB 1316242258 1164555124 03/07/2016
SIDHU 1831245141 1831245141 02/11/2013
SOLOMON 1326219445 1851372742 03/17/2017
RHEE 1487675963 1164555124 08/24/2020
GENAO 1689890980 1689890980 02/08/2016
ORBACH 1295806883 1295806883 06/12/2017
POMERANTZ 1982730107 1144273996 12/10/2012
YOON 1407978836 1851328199 10/07/2013
LAPIDUS 1639172638 1164555124 02/18/2019
Page 1062 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10952 ROCKLAND
2014 1 12701 SULLIVAN
2014 1 14569 WYOMING
2013 1 11419 QUEENS
2016 1 10010 NEW YORK
2012 1 11103 QUEENS
2013 1 11375 QUEENS
2019 4 10010 NEW YORK
2015 2 11103 QUEENS
2016 1 11365 QUEENS
2012 1 11787 SUFFOLK
2013 2 10025 NEW YORK
2017 2 10010 NEW YORK
Page 1063 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
SDTC THE CENTER FOR DISCOVERY (41.705166, -
74.711705)
1024 2180 32
OAK ORCHARD COMM HLTH CTR INC (42.723641, -
78.204473)
415 2186 59
BOODHOO BISSOONLALL B DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SIDHU DALJEET SINGH DDS (40.749338, -
73.789673)
828 2137 11
TWINS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GENAO SANDRA ALTAGRACIA DDS (40.749338, -
73.789673)
828 2137 11
ORBACH JACOB EPHRAIM DDS (40.749338, -
73.789673)
828 2137 11
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1064 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
283
622
37 111
37 108
37 111
37 111
37 108
37 111
37 111
137
37 108
37 108
Page 1065 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PHILIP
DENTIST RICHARD
DENTIST REBECCA
DENTIST ROBERT
DENTIST RICHARD
DENTIST MANUEL
DENTIST BINA
DENTIST MARK
DENTIST JUNG-MIN
DENTIST ERIC
DENTIST ASMAHAN
DENTIST STANLEY
DENTIST CARLOS
Page 1066 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONIGLIO 1851432793 1609915883 06/22/2015
HERMAN 1194728857 1689669079 05/27/2013
POLING 1639484611 1164555124 04/25/2016
LOPATKIN 1952462889 1952462889 09/21/2017
LEE 1801901061 1851328199 10/07/2013
GALAN 1619054947 1619054947 11/22/2016
BHATIA 1306825963 1306825963 03/30/2015
FRANKE 1518935873 1467432765 08/28/2017
KIM 1174679740 1174679740 01/06/2014
GOTHELF 1255312641 1255312641 11/03/2017
KHATER 1841542370 1164555124 01/20/2020
GERSCH 1235205923 1164555124 02/18/2019
OVALLE 1790988939 1790988939 08/24/2017
Page 1067 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11776 SUFFOLK
2012 2 12550 ORANGE
2016 1 10010 NEW YORK
2013 1 11105 QUEENS
2013 2 10025 NEW YORK
2012 1 10031 NEW YORK
2014 1 10994 ROCKLAND
2015 4 13617 ST.LAWRENCE
2013 1 10001 NEW YORK
2013 1 11377 QUEENS
2018 2 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 10033 NEW YORK
Page 1068 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LOPATKIN ROBERT J DDS (40.749338, -
73.789673)
828 2137 11
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
GALAN DENTAL PC (40.726966, -
74.005966)
737 2095 50
BHATIA BINA DDS (41.127287, -
74.017033)
1546 628 27
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
KIM JUNG-MIN DDS (40.726966, -
74.005966)
737 2095 50
GOTHELF ERIC PAUL DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OVALLE CARLOS MANUEL DDS (40.726966, -
74.005966)
737 2095 50
Page 1069 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
76
37 108
37 111
37 108
37 108
154
919
37 108
37 111
37 108
37 108
37 108
Page 1070 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IRYNA
DENTIST ALAN
DENTIST STEVEN
DENTIST LISHA
DENTIST CHRISTOPHER
DENTIST KEVIN
DENTIST JOSIE
DENTIST NELIDA
DENTIST JULIE
DENTIST JIN
DENTIST HOWARD
DENTIST EYAL
DENTIST YU
Page 1071 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRANETS 1043335185 1164555124 03/07/2016
WINIK 1659584084 1386714228 01/14/2013
SPERONI 1801851597 1669568465 08/20/2018
SHRESTHA 1780804419 1639247653 07/07/2014
AMMONS 1225413297 1467486449 07/10/2017
SHEREN 1033133749 1033133749 10/15/2018
YAPOR 1104964162 1295729408 06/25/2012
NESTAREZ 1689735094 1689735094 03/17/2017
YIP 1114325610 1164555124 11/18/2019
YOO 1972750552 1164555124 07/17/2017
BACKER 1568663086 1164555124 03/21/2016
WALDMAN 1386778645 1386778645 08/13/2018
ZHOU 1891947347 1891947347 12/22/2014
Page 1072 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2012 1 10595 WESTCHESTER
2016 1 14527 YATES
2013 1 10588 WESTCHESTER
2016 1 10035 NEW YORK
2013 1 11946 SUFFOLK
2011 1 10035 NEW YORK
2013 1 11372 QUEENS
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11772 SUFFOLK
2014 1 11354 QUEENS
Page 1073 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
FINGER LAKES MIGRANT HLTH (42.634338, -
77.078311)
2225 58
PHOENIX HOUSE FOUNDATION INC (41.039278, -
73.805386)
1440 2185 53
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
SHEREN KEVIN L (40.820237, -
73.119032)
1421 2179 3
INSTITUTE FOR FAMILY HLTH (40.726966, -
74.005966)
737 2095 50
NESTAREZ NELIDA S (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WALDMAN EYAL D DDS (40.820237, -
73.119032)
1421 2179 3
ZHOU YU YE (40.749338, -
73.789673)
828 2137 11
Page 1074 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
581
224
37 108
137
37 108
37 111
37 108
37 108
37 108
137
37 111
Page 1075 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHARLES
DENTIST CHIRANJIB
DENTIST MARTIN
DENTIST TAKANORI
DENTIST MELVYN
DENTIST ANGELA
DENTIST LEON
DENTIST STEVEN
DENTIST AMIN
DENTIST MANJU
DENTIST AISEL
DENTIST STEVEN
DENTIST AMANDEEP
Page 1076 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADLER 1316909765 1063426377 08/03/2015
DUTTA 1205982196 1205982196 06/01/2018
ARONOFF 1851799126 1164555124 03/14/2016
SUZUKI 1548509987 1164555124 01/06/2020
SEGAL 1740428721 1164555124 09/14/2020
KAMER 1437410842 1164555124 12/23/2019
MELIDEO 1295937787 1295937787 05/28/2018
KAYE 1215076922 1215076922 08/18/2014
AYOUB 1235561788 1164555124 02/18/2019
GOPINATHAN 1689714990 1164555124 03/21/2016
FELIX 1801887146 1801887146 12/08/2014
NADLER 1346598612 1063480218 12/16/2013
VIRK 1104231414 1104231414 09/25/2017
Page 1077 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11372 QUEENS
2013 1 11354 QUEENS
2016 1 10010 NEW YORK
2018 2 10010 NEW YORK
2019 4 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 11788 SUFFOLK
2014 1 11432 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 11368 QUEENS
2013 1 10950 ORANGE
2015 1 10128 NEW YORK
Page 1078 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.749338, -
73.789673)
828 2137 11
DUTTA CHIRANJIB DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MELIDEO LEON RICHARD DDS (40.820237, -
73.119032)
1421 2179 3
KAYE STEVEN CHARLES (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FELIX AISEL L DDS (40.749338, -
73.789673)
828 2137 11
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
VIRK AMANDEEP K (40.726966, -
74.005966)
737 2095 50
Page 1079 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
37 108
37 108
37 108
37 108
137
37 111
37 108
37 108
37 111
76
37 108
Page 1080 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ERIN
DENTIST JAMES
DENTIST SEIICHI
DENTIST MIN-KYU
DENTIST PAUL
DENTIST RONALD
DENTIST CHANDINI
DENTIST SERGEY
DENTIST WILLIAM
DENTIST ROBERT
DENTIST RAJEEV
DENTIST GILA
DENTIST ZOYA
Page 1081 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MCTERNAN 1225294788 1669568465 09/02/2013
LOPRESTI 1699825448 1164555124 08/24/2020
YAMANO 1184044661 1164555124 02/25/2019
KIM 1396943379 1972770279 08/26/2013
ROSENBERG 1457422503 1164555124 03/14/2016
SCHWARTZ 1861437014 1356457303 12/28/2015
HUDSON 1396942397 1043224355 12/25/2017
YANGOLENKO 1669668844 1457405862 03/17/2014
PERUSO 1093897969 1720160690 11/02/2015
JENKINS 1528220860 1346337011 11/16/2015
REVANKAR 1700951795 1144453952 04/21/2014
MARCIANO 1376639773 1669470019 04/26/2021
YADGAROV 1164563300 1164563300 12/07/2015
Page 1082 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 14456 ONTARIO
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2013 1 10029 NEW YORK
2016 1 10010 NEW YORK
2015 1 14301 NIAGARA
2016 1 10038 NEW YORK
2013 1 10033 NEW YORK
2014 2 11722 SUFFOLK
2015 1 14304 NIAGARA
2013 1 14067 NIAGARA
2020 4 10977 ROCKLAND
2015 1 10017 NEW YORK
Page 1083 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PEAR DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
MY DENTIST PC (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
ASPIRE OF WESTERN NEW YORK IN (43.134634, -
78.856419)
1107 2131 62
WILLIAM J MARTELL (43.134634, -
78.856419)
1107 2131 62
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
YADGAROV ZOYA E DDS (40.726966, -
74.005966)
737 2095 50
Page 1084 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
691
37 108
37 108
37 108
37 108
835
37 108
37 108
137
835
835
154
37 108
Page 1085 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IRINA
DENTIST WASCAR
DENTIST LOURDES
DENTIST NORMAN
DENTIST DAVID
DENTIST ANTHONY
DENTIST MICHAEL
DENTIST STEVEN
DENTIST VALERIE
DENTIST PETER
DENTIST ADEL
DENTIST WILLIAM
DENTIST MARTIN
DENTIST GREGORY
Page 1086 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ILYAYEVA 1396852505 1396852505 01/05/2015
RAMIREZ 1861465726 1861465726 05/01/2017
ALBANDOZ 1538316385 1538316385 05/12/2021
SORKIN 1518016153 1164555124 02/25/2019
LEVENSON 1497959837 1164555124 01/06/2020
PERROTTA 1093706822 1093706822 04/22/2013
KRZEMIEN 1912017336 1255360517 09/18/2017
JACOBS 1942298625 1720304165 05/12/2014
CHIN 1922555010 1043525926 04/23/2018
LOOMER 1508082819 1164555124 02/25/2019
NASSER 1477607760 1477607760 12/16/2013
ESTEVEZ 1780725002 1780725002 06/17/2013
PRAGER 1952440331 1164555124 02/25/2019
BROWNE 1942327614 1164555124 08/31/2020
Page 1087 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11416 QUEENS
2012 1 11368 QUEENS
2016 2 11368 QUEENS
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2012 1 11720 SUFFOLK
2016 1 48093 OUT OF STATE
2013 1 11385 QUEENS
2016 1 11421 QUEENS
2017 2 10010 NEW YORK
2013 1 11103 QUEENS
2012 1 10032 NEW YORK
2017 2 10010 NEW YORK
2019 4 10010 NEW YORK
Page 1088 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ILYAYEVA IRINA DDS (40.749338, -
73.789673)
828 2137 11
RAMIREZ WASCAR (40.749338, -
73.789673)
828 2137 11
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PERROTTA ANTHONY J DDS (40.820237, -
73.119032)
1421 2179 3
ROCHESTER GENERAL HOSPITAL
FIRST CHOICE FAMILY DENTAL PC (40.749338, -
73.789673)
828 2137 11
WOODHAVEN ORTHODONTICS PLLC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NASSER ADEL ELIE (40.749338, -
73.789673)
828 2137 11
ESTEVEZ WILLIAM D DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1089 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
37 111
37 108
37 108
137
37 111
37 111
37 108
37 111
37 108
37 108
37 108
Page 1090 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MATTHEW
DENTIST CHARLES
DENTIST WILSON
DENTIST DAVID
DENTIST ANIBAL
DENTIST JESSICA
DENTIST SIMON
DENTIST MATTHEW
DENTIST TEODORO
DENTIST MOHIT
DENTIST LAURA
DENTIST LENA
DENTIST AMY
Page 1091 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MALEK 1447531231 1164555124 07/05/2021
NEIDORFF 1689826455 1164555124 02/25/2019
SITHOLE 1215925557 1215925557 11/18/2013
GLOTZER 1881826469 1164555124 04/25/2016
ROMERO 1194789966 1194789966 12/21/2015
LEE 1962694901 1639445745 11/11/2013
CHEUNG 1912053208 1912053208 03/18/2013
MALEK 1447531231 1164555124 02/25/2019
REGUS 1427175405 1427175405 08/19/2013
PATEL 1558684159 1558684159 08/17/2015
MANZO 1801958277 1467487637 09/11/2017
ALSABBAN 1386842615 1164555124 11/25/2019
TRUESDALE 1114250628 1164555124 04/25/2016
Page 1092 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 5 10010 NEW YORK
2017 2 10010 NEW YORK
2013 1 13212 ONONDAGA
2016 1 10010 NEW YORK
2012 1 11373 QUEENS
2013 1 10583 WESTCHESTER
2012 1 11354 QUEENS
2017 2 10010 NEW YORK
2013 1 10034 NEW YORK
2015 1 11004 QUEENS
2015 2 10562 WESTCHESTER
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
Page 1093 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SITHOLE WILSON DDS (43.065629, -
76.168033)
713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ROMERO ANIBAL DDS PC (40.749338, -
73.789673)
828 2137 11
WE SMILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
CHEUNG SIMON DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REGUS TEODORE E DDS (40.726966, -
74.005966)
737 2095 50
PATEL MOHIT H (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1094 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
755
37 108
37 111
224
37 111
37 108
37 108
37 111
224
37 108
37 108
Page 1095 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAMES
DENTIST INDIRA
DENTIST ELIZABETH
DENTIST PETER
DENTIST PATRICK
DENTIST LAURIE
DENTIST BABAK
DENTIST MICHAEL
DENTIST KRZYSZTOF
DENTIST JAY
DENTIST DAVID
DENTIST MARK
DENTIST ALKA
Page 1096 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UYANIK 1992843734 1164555124 07/05/2021
ROCHA 1811338262 1124334826 05/05/2014
YUABOV 1578739587 1578739587 05/05/2014
HERTZ 1013902147 1164555124 02/18/2019
BIVONA 1649649856 1164555124 07/31/2017
FLEISHER 1053409904 1164555124 03/14/2016
BEHMANESH 1780825430 1780825430 08/01/2017
ALUF 1871638684 1104093814 04/24/2017
KOCH 1245229616 1063480218 12/16/2013
GOLDSMITH 1780670745 1013924372 07/27/2015
HOROWITZ 1689840696 1972681484 12/24/2012
FRANKE 1518935873 1467432765 05/19/2014
PATEL 1760544001 1467487637 08/19/2019
Page 1097 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 5 10010 NEW YORK
2013 1 10027 NEW YORK
2013 1 11367 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11385 QUEENS
2016 1 10040 NEW YORK
2013 1 10950 ORANGE
2014 1 10022 NEW YORK
2012 1 10952 ROCKLAND
2013 3 13617 ST.LAWRENCE
2018 4 10562 WESTCHESTER
Page 1098 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
YUABOVA ELIZABETH DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BEHMANESH BABAK DDS (40.749338, -
73.789673)
828 2137 11
IK DENTAL PC (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, - 1440 2185 53
Page 1099 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
37 108
37 111
37 108
76
37 108
154
919
224
Page 1100 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AHMED
DENTIST RUBEN
DENTIST ROBERT
DENTIST ALTAY
DENTIST YURIY
DENTIST WAYNE
DENTIST BORIS
DENTIST ARTHUR
DENTIST KATHERINE
DENTIST MOHAMMAD
DENTIST PEDRO
DENTIST GARY
DENTIST MARC
Page 1101 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TAHA EL KADY 1215918073 1215918073 12/03/2018
DIAZ 1366432304 1366432304 10/07/2013
NELSON 1962689919 1700943750 08/04/2014
KHANMAMEDOV 1437114170 1114178795 07/30/2018
YUSUPOV 1760637672 1043224355 06/07/2021
ST HILL 1417967530 1508955592 01/11/2016
YUSUPOV 1922091222 1366673857 11/24/2014
KUBIKIAN 1235175407 1164555124 08/24/2020
KIM 1851553259 1851553259 03/16/2015
AHMED 1528093846 1063480218 08/28/2017
ALVAREZ 1063446771 1467432765 07/23/2012
BERKOWITZ 1285812800 1164555124 08/24/2020
HENSCHEL 1861614562 1164555124 02/18/2019
Page 1102 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11429 QUEENS
2013 1 11368 QUEENS
2013 1 10543 WESTCHESTER
2016 3 10032 NEW YORK
2020 2 10038 NEW YORK
2015 1 11435 QUEENS
2014 1 11746 SUFFOLK
2019 4 10010 NEW YORK
2014 1 10701 WESTCHESTER
2016 1 10950 ORANGE
2011 1 13617 ST.LAWRENCE
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
Page 1103 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 73.805386)
TAHA EL KADY AHMED M (40.749338, -
73.789673)
828 2137 11
DIAZ RUBEN DARIO DDS (40.749338, -
73.789673)
828 2137 11
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
ALLCITY COSMETIC DENTAL CARE PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIM KATHERINE KYUNGMIN DDS (41.039278, -
73.805386)
1440 2185 53
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1104 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 111
224
37 108
37 108
37 111
137
37 108
224
76
919
37 108
37 108
Page 1105 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SARA
DENTIST YING
DENTIST FAIZUL
DENTIST HEIDI
DENTIST NICHOLAS
DENTIST MARIA
DENTIST NURAY
DENTIST PAULETTE
DENTIST HYANG-RIM
DENTIST TAUSEEL
DENTIST YAEL
DENTIST RONALD
DENTIST ALI
Page 1106 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EMAM 1134516156 1770832503 01/22/2018
WONG 1144311390 1164555124 11/18/2019
KABIR 1346231719 1346231719 02/25/2013
HANSEN 1063655967 1952332801 06/04/2018
GIANNUZZI 1659462265 1164555124 08/24/2020
LUCIA 1740358175 1740358175 11/19/2018
OZU 1740465061 1164555124 11/25/2019
PORTEOUS-COLE 1053494112 1285893719 08/26/2019
LEE 1447313481 1447313481 01/17/2020
KHAN 1255471389 1669470019 12/09/2019
ORTIZ 1073597902 1467486449 04/23/2018
SIEGEL 1851375851 1851375851 09/04/2017
ATTAIE 1811060692 1811060692 03/26/2012
Page 1107 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10027 NEW YORK
2018 3 10010 NEW YORK
2012 1 11377 QUEENS
2016 4 10032 NEW YORK
2019 4 10010 NEW YORK
2017 4 13088 ONONDAGA
2018 3 10010 NEW YORK
2018 4 10573 WESTCHESTER
2014 1 11361 QUEENS
2018 2 10977 ROCKLAND
2016 2 10035 NEW YORK
2016 1 13069 OSWEGO
2011 1 11377 QUEENS
Page 1108 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
AFSHAN HAQUE DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KABIR MD FAIZUL DDS (40.749338, -
73.789673)
828 2137 11
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
LEE HYANG-RIM DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
SIEGEL RONALD J DDS (43.39123, -
76.31133)
623 2135 41
ATTAIE ALI DDS (40.749338, - 828 2137 11
Page 1109 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
755
37 108
224
37 111
154
37 108
533
37 111
Page 1110 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KOUROSH
DENTIST ROBERT
DENTIST DAVID
DENTIST JOANA
DENTIST ALEXANDER
DENTIST DAVID
DENTIST MERCEDES
DENTIST WAYNE
DENTIST JEFFREY
DENTIST HSIAO
DENTIST SHAHIDA
DENTIST MILADYS
DENTIST ALEXIS
Page 1111 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MEHRNIA 1821206970 1821206970 06/22/2015
DOMOZYCH 1235271362 1235271362 03/12/2019
KIM 1235543075 1851414965 07/31/2017
FORSEA 1417368283 1164555124 07/05/2021
BORUKHOV 1457429474 1457429474 12/29/2014
KIRSHENBAUM 1013906593 1720160690 11/02/2015
TORRES-RODRIGUEZ 1750453882 1750453882 03/11/2013
MAURER 1518959725 1275592693 12/07/2015
KRANTZ 1720180011 1720180011 11/25/2013
CHEN 1003140161 1891968012 05/11/2017
QAZI 1376547232 1164555124 03/14/2016
HERNANDEZ 1851381073 1851381073 02/11/2013
COHEN 1245674472 1164555124 02/18/2019
Page 1112 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11423 QUEENS
2014 1 11730 SUFFOLK
2016 1 10031 NEW YORK
2020 5 10010 NEW YORK
2014 1 11375 QUEENS
2014 2 11722 SUFFOLK
2012 1 10033 NEW YORK
2014 1 11109 QUEENS
2013 1 10009 NEW YORK
2013 1 10038 NEW YORK
2016 1 10010 NEW YORK
2012 1 11418 QUEENS
2017 2 10010 NEW YORK
Page 1113 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
MEHRNIA KOUROSH (40.749338, -
73.789673)
828 2137 11
DOMOZYCH ROBERT A DDS (40.820237, -
73.119032)
1421 2179 3
HERITAGE HEALTH AND HOUSING, INC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BORUKHOV D ALEXANDER DDS (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
TORRES MERCEDES DDS (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.749338, -
73.789673)
828 2137 11
KRANTZ JEFFREY DDS (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HERNANDEZ MILADYS DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1114 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
137
37 108
37 108
37 111
137
37 108
37 111
37 108
37 108
37 108
37 111
37 108
Page 1115 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FARAMARZ
DENTIST LAURA
DENTIST MARISA
DENTIST PAMELA
DENTIST SAFDAR
DENTIST LEIGH
DENTIST LEE
DENTIST ELONA
DENTIST ERICK
DENTIST ALEXIS
DENTIST WILLIAM
DENTIST MARIA
DENTIST DOINA
Page 1116 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHALILI 1275667024 1922259142 01/28/2013
MANZO 1801958277 1467487637 03/12/2012
PEREIRA 1972844264 1164555124 02/25/2019
CHENG 1093820672 1164555124 07/05/2021
CHADDA 1760555106 1164555124 02/18/2019
BUSCH 1366519993 1164555124 11/25/2019
AKIN 1538376447 1538376447 04/13/2015
FATAKHOVA 1295867570 1295867570 05/20/2016
TRIVEDI 1942356837 1801068903 10/06/2014
COHEN 1245674472 1164555124 05/02/2016
SCHNEIDER 1922044676 1053482067 03/27/2017
MACDONALD 1255461521 1255461521 11/18/2013
COMAN 1881676310 1881676310 07/20/2017
Page 1117 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11418 QUEENS
2011 1 10562 WESTCHESTER
2017 2 10010 NEW YORK
2020 2 10010 NEW YORK
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 13676 ST.LAWRENCE
2014 2 11375 QUEENS
2014 1 11701 SUFFOLK
2016 1 10010 NEW YORK
2016 1 11794 SUFFOLK
2013 1 11375 QUEENS
2013 1 11385 QUEENS
Page 1118 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
JAMAICA 26 DENTISTRY PC (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AKIN LEE H (44.689468, -
75.242045)
1581 2140 41
FATAKHOVA ELONA (40.749338, -
73.789673)
828 2137 11
ERICK S TRIVEDI DDS PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
MACDONALD MARIA LAGAIDA DDS (40.749338, -
73.789673)
828 2137 11
COMAN DOINA DDS (40.749338, - 828 2137 11
Page 1119 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
224
37 108
37 108
37 108
37 108
919
37 111
137
37 108
137
37 111
37 111
Page 1120 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAMES
DENTIST BRANDON
DENTIST ANTHONY
DENTIST RACHEL
DENTIST BELKIS
DENTIST AARON
DENTIST MARIA
DENTIST LEWIS
DENTIST FARIDEH
DENTIST MARCIE
DENTIST DAWN
DENTIST FREDERICK
DENTIST GAIL
Page 1121 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DUNNE 1720040975 1164555124 03/07/2016
JACKSON 1861753949 1861753949 09/04/2017
CIANCIMINO 1477580934 1063426377 08/03/2015
FAINMAN 1114166113 1578998639 11/09/2015
DURAN 1396956736 1396956736 05/20/2016
POLINSKY 1548262652 1548262652 11/03/2017
STAMPELOS 1366581522 1609915883 08/05/2019
LAMPERT 1841680329 1164555124 01/20/2020
KIA 1639571615 1003824608 03/05/2018
LEBOVIC 1891962551 1053482067 11/24/2014
POWELL 1306903174 1013924372 08/24/2015
RIEGEL 1811017981 1669568465 02/05/2018
SCHUPAK 1194728196 1164555124 03/14/2016
Page 1122 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2016 1 10901 ROCKLAND
2014 1 11379 QUEENS
2015 1 10901 ROCKLAND
2012 1 10705 WESTCHESTER
2013 1 10601 WESTCHESTER
2014 1 11776 SUFFOLK
2018 3 10010 NEW YORK
2016 1 10038 NEW YORK
2014 1 11794 SUFFOLK
2014 1 10029 NEW YORK
2015 1 14527 YATES
2016 1 10010 NEW YORK
Page 1123 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JACKSON BRANDON JOSHUA (41.127287, -
74.017033)
1546 628 27
ELMHURST HOSPITAL CENTER (40.749338, -
73.789673)
828 2137 11
INDIAN ROCK DENTAL PC (41.127287, -
74.017033)
1546 628 27
DURAN BELKIS E DDS (41.039278, -
73.805386)
1440 2185 53
POLINSKY AARON R DDS (41.039278, -
73.805386)
1440 2185 53
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MORRISANIA D & T CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (42.634338, -
77.078311)
2225 58
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1124 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
154
37 111
154
224
224
137
37 108
37 108
137
37 108
581
37 108
Page 1125 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHRYSTALLA
DENTIST DAVID
DENTIST DAVID
DENTIST JOEL
DENTIST DENNIS
DENTIST YASMI
DENTIST MICHAEL
DENTIST TANZILA
DENTIST HARVEY
DENTIST MARIA
DENTIST PREETIKA
DENTIST JULIE
DENTIST MICHELLE
Page 1126 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ORTHODOXOU 1881750701 1760436190 07/23/2012
GREEN 1588784946 1053482067 09/15/2014
SIROIS 1528128170 1164555124 11/25/2019
FRIEDMAN 1316945926 1952332801 06/16/2014
PALLADINO 1043270747 1548229958 09/07/2015
CRYSTAL 1215957014 1164555124 08/24/2020
FERGUSON 1639227424 1164555124 08/24/2020
CHAUDHRY 1831582931 1831582931 02/05/2021
GROSSMAN 1659482255 1013924372 05/09/2016
LUCIA 1740358175 1740358175 01/17/2020
GUPTA 1073746822 1073746822 08/16/2016
YIP 1114325610 1164555124 02/25/2019
GHUSSON 1780723387 1780723387 02/23/2018
Page 1127 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2011 1 10001 NEW YORK
2014 1 11794 SUFFOLK
2018 3 10010 NEW YORK
2013 2 10032 NEW YORK
2014 1 10007 NEW YORK
2019 3 10010 NEW YORK
2019 4 10010 NEW YORK
2017 2 10029 NEW YORK
2015 1 10038 NEW YORK
2015 2 13088 ONONDAGA
2012 1 11798 SUFFOLK
2017 2 10010 NEW YORK
2013 1 10016 NEW YORK
Page 1128 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CHAUDHRY TANZILA (40.726966, -
74.005966)
737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
GUPTA PREETIKA (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GHUSSON MICHELLE DDS (40.726966, - 737 2095 50
Page 1129 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
37 108
37 108
37 108
37 108
37 108
37 108
37 108
755
137
37 108
37 108
Page 1130 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IGOR
DENTIST GILA
DENTIST JIN
DENTIST FRED
DENTIST ANTHONY
DENTIST NATALYA
DENTIST TSIPORA
DENTIST ALEXANDER
DENTIST BIJAN
DENTIST SHELDON
DENTIST BENJAMIN
DENTIST SUNIL
DENTIST NYSSA
Page 1131 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHIKUNOV 1386760338 1164555124 03/07/2016
MARCIANO 1376639773 1669470019 08/31/2020
YOO 1972750552 1164555124 01/06/2020
PUCCIO 1114038460 1164555124 07/17/2017
DANAS 1770545295 1265707491 11/02/2015
ORLOVA 1215141981 1215141981 07/25/2016
RUBINOV 1710978093 1710978093 12/16/2013
KERR 1306994645 1164555124 08/24/2020
MOGHADAM 1528270139 1164555124 08/24/2020
WINIK 1417179151 1386714228 10/15/2012
GEISLER 1477893311 1467487637 07/23/2018
DESAI 1942363957 1760436190 07/23/2012
LIN 1699031906 1245401322 03/21/2016
Page 1132 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2019 3 10977 ROCKLAND
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2015 1 12754 SULLIVAN
2012 1 10034 NEW YORK
2013 1 11373 QUEENS
2019 4 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 10595 WESTCHESTER
2016 2 10562 WESTCHESTER
2011 1 10001 NEW YORK
2015 1 11355 QUEENS
Page 1133 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
ORLOVA NATALYA DDS (40.726966, -
74.005966)
737 2095 50
RUBINOV TSIPORA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
EMPRESS DENTAL SERVICE PLLC (40.749338, - 828 2137 11
Page 1134 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
154
37 108
37 108
283
37 108
37 111
37 108
37 108
224
224
37 108
37 111
Page 1135 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CARLOS
DENTIST GEORGE
DENTIST FRED
DENTIST HERMAN
DENTIST STEVEN
DENTIST DAVID
DENTIST AMARILIS
DENTIST ANDREA
DENTIST ALLEN
DENTIST YVES
DENTIST PHILIP
DENTIST BAPANAIAH
DENTIST ROBERT
Page 1136 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MIRANDA 1295948610 1295948610 01/21/2013
RAYMOND 1073503991 1164555124 11/18/2019
PUCCIO 1114038460 1164555124 07/05/2021
SALCEDO 1689713000 1689713000 06/22/2018
GROMAN 1841403516 1548229958 09/07/2015
DERISSE 1396958146 1396958146 02/26/2019
JACOBO 1265418008 1265418008 02/11/2013
PUCCI 1295875144 1669470019 10/22/2012
HINDIN 1093740276 1801003736 05/16/2016
CONTE 1073615894 1073615894 08/05/2019
CONIGLIO 1851432793 1609915883 08/05/2019
PENUGONDA 1043460595 1164555124 11/18/2019
SANFORD 1073635942 1164555124 11/18/2019
Page 1137 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10040 NEW YORK
2018 3 10010 NEW YORK
2020 3 10010 NEW YORK
2013 1 10029 NEW YORK
2014 1 10007 NEW YORK
2013 1 10033 NEW YORK
2012 1 10026 NEW YORK
2012 1 10977 ROCKLAND
2015 1 12563 PUTNAM
2018 2 11432 QUEENS
2014 1 11776 SUFFOLK
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
Page 1138 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
MIRANDA CARLOS DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SALCEDO HERMAN FRANCISCO (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
DERISSE DAVID DMD (40.726966, -
74.005966)
737 2095 50
JACOBO AMARILIS A DDS (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
UCPA OF PUTNAM & SO DUTCHESS (41.41131, -
73.717443)
1201 627 29
CONTE YVES DDS (40.749338, -
73.789673)
828 2137 11
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1139 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 108
37 108
37 108
154
272
37 111
137
37 108
37 108
Page 1140 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JASON
DENTIST DAVID
DENTIST ALEXANDER
DENTIST LEILA
DENTIST HOWARD
DENTIST KAREN
DENTIST LEONARD
DENTIST MICHAEL
DENTIST DONALD
DENTIST GEORGE
DENTIST JUAN
DENTIST OLEG
DENTIST GUILLERMO
Page 1141 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOL 1205873312 1205873312 10/01/2012
TARRAB 1164802575 1164555124 02/25/2019
PILAVSKY 1164634549 1225388127 06/27/2016
JAHANGIRI 1386792729 1164555124 03/14/2016
MILLER 1710078662 1053482067 09/14/2015
WATSON 1235282047 1235282047 01/26/2015
WILLNER 1881775054 1801803903 07/31/2017
KAMPOURAKIS 1750555991 1164555124 03/14/2016
SPITZER 1215072897 1164555124 03/14/2016
FREUD 1780726885 1265657662 10/11/2019
PERALTA 1528135696 1528135696 03/06/2017
KLEMPNER 1033393525 1427171966 10/21/2013
TORRES 1639499486 1689669079 05/27/2013
Page 1142 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11372 QUEENS
2017 2 10010 NEW YORK
2016 1 12550 ORANGE
2016 1 10010 NEW YORK
2014 1 11794 SUFFOLK
2014 1 10601 WESTCHESTER
2015 1 10038 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 12550 ORANGE
2012 1 11368 QUEENS
2012 1 11374 QUEENS
2012 2 12550 ORANGE
Page 1143 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SOL DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COUNTY DENTAL AT NEWBURGH PLLC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
WATSON KAREN L DDS (41.039278, -
73.805386)
1440 2185 53
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
PERALTA JUAN A DDS (40.749338, -
73.789673)
828 2137 11
PARK DENTAL CARE OF BROOKLYN PLLC (40.749338, -
73.789673)
828 2137 11
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, - 1496 2134 32
Page 1144 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
76
37 108
137
224
37 108
37 108
37 108
76
37 111
37 111
76
Page 1145 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOEL
DENTIST BAPANAIAH
DENTIST RUFINA
DENTIST JOEL
DENTIST CARLOS
DENTIST DIANA
DENTIST LOUIS
DENTIST GERALD
DENTIST SURESH
DENTIST JYOTHI
DENTIST DEAN
DENTIST DENISE
DENTIST AARON
Page 1146 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EFRON 1952381279 1952381279 09/04/2017
PENUGONDA 1043460595 1164555124 08/17/2020
LOUIS 1578787933 1578787933 01/05/2015
FRIEDMAN 1316945926 1952332801 09/02/2013
DULUC 1851436513 1851436513 08/24/2015
POP 1851546261 1629365846 06/29/2015
LIN 1922329317 1164555124 01/20/2020
LEIFER 1477577203 1497700736 04/25/2016
RAO 1972580918 1063480218 11/06/2017
KAVURI 1548271836 1619969458 02/05/2018
BARTLETT 1366651309 1366651309 12/10/2012
ESTAFAN 1346648821 1164555124 03/07/2016
SOEPRONO 1275610255 1164555124 03/14/2016
Page 1147 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 13069 OSWEGO
2019 4 10010 NEW YORK
2014 1 11385 QUEENS
2012 1 10032 NEW YORK
2012 1 10977 ROCKLAND
2014 1 11763 SUFFOLK
2018 3 10010 NEW YORK
2016 1 11692 QUEENS
2015 3 10950 ORANGE
2015 2 10924 ORANGE
2012 1 12804 WARREN
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
Page 1148 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.241929)
EFRON JOEL DDS (43.39123, -
76.31133)
623 2135 41
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LOUIS RUFINA DDS (40.749338, -
73.789673)
828 2137 11
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
DULUC CARLOS JOSE DDS (41.127287, -
74.017033)
1546 628 27
RAIO DENTAL PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
HUDSON RIVER HEALTHCARE INC (41.422459, -
74.241929)
1496 2134 32
BARTLETT DEAN M DDS (43.403024, -
73.716044)
128 2183 35
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1149 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
533
37 108
37 111
37 108
154
137
37 108
37 111
76
76
522
37 108
37 108
Page 1150 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST IVAN
DENTIST ALEXANDRA
DENTIST TONY
DENTIST JOEL
DENTIST MICHAEL
DENTIST KIMBERLY
DENTIST JAMES
DENTIST MYRON
DENTIST STEVEN
DENTIST JOSHUA
DENTIST SADREDINE
DENTIST MAILIN
DENTIST ALICE
Page 1151 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VAZQUEZ 1811986557 1366644718 07/17/2017
KHAIMOV 1023166725 1023166725 10/28/2013
CHUNG 1518135466 1124334826 11/25/2013
SILVER 1093946717 1164555124 03/14/2016
PROOTHI 1124279856 1053482067 10/16/2017
FERGUSON 1598913337 1467487637 08/21/2017
APLTAUER 1114250859 1164555124 02/18/2019
KLEIN 1265443675 1164555124 02/18/2019
KAUFMAN 1750414686 1720160690 11/02/2015
CHUBAK 1114272192 1164555124 07/17/2017
SHADMAN 1871775312 1871775312 12/16/2013
LAI 1124150461 1891968012 02/09/2017
HOANG 1174802243 1306898432 08/18/2014
Page 1152 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11788 SUFFOLK
2013 1 11373 QUEENS
2013 1 10027 NEW YORK
2016 1 10010 NEW YORK
2016 1 11794 SUFFOLK
2015 2 10562 WESTCHESTER
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2014 2 11722 SUFFOLK
2016 1 10010 NEW YORK
2013 1 10023 NEW YORK
2012 1 10038 NEW YORK
2013 1 10011 NEW YORK
Page 1153 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
CHILDRENS DENTISTRY OF HAUPPAUGE (40.820237, -
73.119032)
1421 2179 3
KHAIMOV ALEXANDRA DDS (40.749338, -
73.789673)
828 2137 11
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHADMAN SADREDINE DDS (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, - 737 2095 50
Page 1154 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 111
37 108
37 108
137
224
37 108
37 108
137
37 108
37 108
37 108
37 108
Page 1155 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEPHEN
DENTIST ANNA
DENTIST SAKSHI
DENTIST SAYAMOL
DENTIST ALPER
DENTIST RICHARD
DENTIST KENNETH
DENTIST GUILLERMO
DENTIST MARK
DENTIST ROBERT
DENTIST MICHELE
DENTIST BERT
DENTIST MOHAMMAD
Page 1156 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KRUGER 1952359382 1952359382 02/17/2020
GOFMAN 1851582233 1508850280 12/05/2016
DEEP 1497197750 1669568465 06/29/2015
VORARAGSA 1679776967 1164555124 07/05/2021
COMUT 1932321783 1164555124 11/25/2019
WELEDNIGER 1962492496 1164555124 03/07/2016
SWANSTON 1609920479 1609920479 01/12/2015
TORRES 1639499486 1689669079 05/07/2012
BORNFELD 1427050541 1164555124 12/23/2019
SCHULSINGER 1780695049 1619969458 03/18/2013
CARPO 1699089136 1497700736 08/26/2013
GASTER 1922486059 1164555124 03/21/2016
IQBAL 1023009446 1396061594 01/04/2016
Page 1157 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 3 11361 QUEENS
2015 1 13142 OSWEGO
2014 1 14456 ONTARIO
2020 2 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 10607 WESTCHESTER
2011 1 12550 ORANGE
2018 3 10010 NEW YORK
2012 1 10566 WESTCHESTER
2012 1 11692 QUEENS
2016 1 10010 NEW YORK
2015 1 11432 QUEENS
Page 1158 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
KRUGER STEPHEN R DDS (40.749338, -
73.789673)
828 2137 11
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -
76.31133)
623 2135 41
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SWANSTON KENNETH JEREMY DDS (41.039278, -
73.805386)
1440 2185 53
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
IQBAL DENTAL GROUP PC (40.749338, - 828 2137 11
Page 1159 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
533
691
37 108
37 108
37 108
224
76
37 108
224
37 111
37 108
37 111
Page 1160 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DOINA
DENTIST RALPH
DENTIST ROBERT
DENTIST JACLYN
DENTIST RODOLFO
DENTIST RACHEL
DENTIST ALAN
DENTIST CAROLE
DENTIST JEFFREY
DENTIST VERONIQUE
DENTIST IRA
DENTIST KATTE
DENTIST WILLIAM
Page 1161 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COMAN 1881676310 1881676310 08/12/2013
CUNNINGHAM 1336369461 1164555124 12/23/2019
CAMMARATA 1720162225 1164555124 03/07/2016
PARK 1588785521 1164555124 02/25/2019
WERT 1720147200 1720147200 06/08/2015
FAINMAN 1114166113 1578998639 11/04/2019
WINIK 1659584084 1386714228 08/05/2019
PIERRE 1306908025 1306908025 03/11/2013
BLYE 1912138603 1164555124 03/07/2016
KRIEGER 1861731515 1275592693 01/22/2018
COOPER 1982607693 1972681484 04/27/2015
ANILESH 1730249806 1730249806 03/31/2014
HURWITZ 1811168867 1164555124 01/06/2020
Page 1162 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11385 QUEENS
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2014 4 10033 NEW YORK
2015 1 10901 ROCKLAND
2018 6 10595 WESTCHESTER
2012 1 11427 QUEENS
2016 1 10010 NEW YORK
2016 1 10007 NEW YORK
2014 1 10952 ROCKLAND
2013 1 11419 QUEENS
2018 3 10010 NEW YORK
Page 1163 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
COMAN DOINA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
INDIAN ROCK DENTAL PC (41.127287, -
74.017033)
1546 628 27
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
PIERRE CAROLE MARIE (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
ANILESH KATTE B DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1164 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 108
37 108
154
224
37 111
37 108
37 108
154
37 111
37 108
Page 1165 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALLEN
DENTIST OLIVIER
DENTIST CHANDRA
DENTIST PATRICK
DENTIST MIHAELA
DENTIST JOSHUA
DENTIST SHEREE
DENTIST BHARATHI
DENTIST JAMES
DENTIST GEORGE
DENTIST NEAL
DENTIST LEONARD
DENTIST SAMUEL
Page 1166 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FRIST 1801918198 1548208127 02/26/2018
NICOLAY 1073863015 1164555124 03/14/2016
IYER 1497112395 1164555124 02/18/2019
BAILEY 1770888786 1851414965 08/07/2017
SCHIOPU 1174770937 1689669079 08/28/2017
CHUBAK 1114272192 1164555124 11/18/2019
MANANZAN 1639285679 1972681484 10/29/2012
SHIVANAND 1548222631 1497796353 05/13/2013
UYANIK 1992843734 1164555124 01/06/2020
XENAKIS 1407045594 1851328199 09/24/2012
AUERBACH 1578642344 1578642344 11/22/2019
ELZEY 1134315807 1134315807 12/03/2018
KRAMER 1497811699 1164555124 02/18/2019
Page 1167 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10038 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 10031 NEW YORK
2015 2 12518 ORANGE
2018 3 10010 NEW YORK
2012 1 10952 ROCKLAND
2012 1 13202 ONONDAGA
2018 3 10010 NEW YORK
2011 1 10025 NEW YORK
2015 1 10804 WESTCHESTER
2014 1 10940 ORANGE
2017 2 10010 NEW YORK
Page 1168 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HERITAGE HEALTH AND HOUSING, INC (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
SYRACUSE COMM HEALTH CTR INC (43.065629, -
76.168033)
713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
AUERBACH NEAL J DDS (41.039278, -
73.805386)
1440 2185 53
ELZEY LEONARD DEMETURIS DDS (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1169 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
76
37 108
154
755
37 108
37 108
224
76
37 108
Page 1170 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ANGELA
DENTIST EMMANUELA
DENTIST JUAN
DENTIST CARISSA
DENTIST MOSHE
DENTIST ANDRE
DENTIST MESER
DENTIST SHARON
DENTIST LESLIE
DENTIST STEVEN
DENTIST MAKSIM
DENTIST EDWARD
DENTIST PETER
Page 1171 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DE BARTOLO 1033235890 1164555124 02/18/2019
MENA 1730234154 1730234154 08/12/2013
DE FEX 1821052317 1821052317 11/26/2018
CAMPOS 1144563560 1467486449 05/02/2016
GLICK 1710291620 1710291620 01/21/2013
MONTAZEM 1740242437 1063426377 10/04/2021
AHMED 1003019944 1003019944 07/13/2018
PERELMAN 1134209786 1164555124 03/14/2016
ABRAHAM 1598991044 1164555124 03/21/2016
FISHER 1073744652 1164555124 07/05/2021
LYUBARSKIY 1427110220 1790971869 11/23/2015
MILLER 1649327644 1164555124 04/25/2016
GERSHENSON 1164504973 1679587679 02/26/2018
Page 1172 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2013 1 10033 NEW YORK
2017 5 11372 QUEENS
2015 1 10035 NEW YORK
2012 1 10033 NEW YORK
2021 6 10038 NEW YORK
2013 1 11372 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2020 5 10010 NEW YORK
2015 1 07728 OUT OF STATE
2016 1 10010 NEW YORK
2016 1 10038 NEW YORK
Page 1173 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MENA EMMANUELA DDS (40.726966, -
74.005966)
737 2095 50
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
GLICK MOSHE (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
M N DENTAL CARE P C (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WALTON DENTAL PLLC
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
Page 1174 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
37 108
37 111
37 108
37 108
37 108
37 108
37 108
Page 1175 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SANDANA
DENTIST ALPER
DENTIST JOSE
DENTIST LISA
DENTIST SAFDAR
DENTIST VIVIAN
DENTIST RODERICK
DENTIST PATRICIA
DENTIST LEILA
DENTIST DOUGLAS
DENTIST JEROME
DENTIST JILLIAN
DENTIST FARAH
Page 1176 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAJ 1154641785 1164555124 04/25/2016
COMUT 1932321783 1164555124 02/18/2019
ROA 1205828423 1205828423 12/17/2012
TIBERI 1023298452 1013937143 11/13/2017
CHADDA 1760555106 1164555124 08/24/2020
WASMUHT-PERROUD 1841382124 1164555124 02/25/2019
LUCENTE 1295857191 1295857191 01/28/2013
MILLER 1568559870 1033124961 03/15/2021
JAHANGIRI 1386792729 1164555124 12/23/2019
VARGAS 1548244106 1548244106 08/16/2016
KAPLAN 1770715708 1164555124 08/31/2020
LIM 1790977346 1790977346 03/24/2014
PATEL 1770639056 1073503215 03/06/2017
Page 1177 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 11373 QUEENS
2016 1 12747 SULLIVAN
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 10009 NEW YORK
2020 4 10038 NEW YORK
2018 3 10010 NEW YORK
2012 1 10031 NEW YORK
2019 4 10010 NEW YORK
2014 1 10029 NEW YORK
2013 1 10312 RICHMOND
Page 1178 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ROA JOSE ARISTIDES DDS (40.749338, -
73.789673)
828 2137 11
PRASAD CHILDS DENTAL HLTH PGR (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LUCENTE RODERICK A DDS (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
VARGAS DOUGLAS DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LIM JILLIAN DMD (40.726966, -
74.005966)
737 2095 50
A MASKELL DDS AND S MASKELL DDS PC (40.566763, -
74.148102)
609 2139 47
Page 1179 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
283
37 108
37 108
37 108
37 108
37 108
37 108
37 108
37 108
37 7
Page 1180 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GLENN
DENTIST DANNY
DENTIST SCOTT
DENTIST GARY
DENTIST FELIPE
DENTIST ANTHONY
DENTIST MARLENE
DENTIST HELEN
DENTIST JEFFREY
DENTIST PARUL
DENTIST IYMAN
DENTIST DEVI
DENTIST TAMIKA
Page 1181 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GOODBINDER 1871677666 1548229958 09/09/2019
LO 1528384997 1164555124 03/21/2016
SIMONETTI 1356480768 1356480768 09/15/2014
MINKOWITZ 1639168537 1639168537 05/11/2017
VARGAS 1003946815 1003946815 03/11/2013
CIANCIMINO 1477580934 1063426377 01/20/2020
REYNOLDS-COX 1922090927 1922090927 03/11/2013
KIM 1629119300 1073955878 12/14/2015
LOWD 1740516574 1437478674 02/10/2014
MAKKAR 1649468539 1649468539 11/18/2013
ELASHMAWY 1417191180 1154463016 07/01/2021
KONAR 1447393384 1447393384 03/31/2014
ANOIA 1194051045 1265707491 05/21/2018
Page 1182 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10007 NEW YORK
2016 1 10010 NEW YORK
2014 1 11717 SUFFOLK
2012 1 11378 QUEENS
2012 1 11421 QUEENS
2018 2 10038 NEW YORK
2012 1 11434 QUEENS
2015 1 10027 NEW YORK
2013 1 11415 QUEENS
2013 1 11419 QUEENS
2013 1 11373 QUEENS
2013 1 10029 NEW YORK
2016 1 10950 ORANGE
Page 1183 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SIMONETTI SCOTT ANTHONY DDS (40.820237, -
73.119032)
1421 2179 3
MINKOWITZ GARY DDS (40.749338, -
73.789673)
828 2137 11
VARGAS FELIPE SANTIAGO DDS (40.749338, -
73.789673)
828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
REYNOLDS-COX MARLENE A DDS (40.749338, -
73.789673)
828 2137 11
TOOTHFAIRYNYC ORAL & MAXILLOFACIAL (40.726966, -
74.005966)
737 2095 50
DESIGNER BRACES (40.749338, -
73.789673)
828 2137 11
MAKKAR PARUL DUA DDS (40.749338, -
73.789673)
828 2137 11
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
KONAR DEVI DDS (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (41.422459, -
74.241929)
1496 2134 32
Page 1184 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
137
37 111
37 111
37 108
37 111
37 108
37 111
37 111
37 111
37 108
76
Page 1185 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST AMY
DENTIST DESIREE
DENTIST WASCAR
DENTIST ELENA
DENTIST SEIICHI
DENTIST LISA
DENTIST SUSAN
DENTIST PATRICIA
DENTIST RICHARD
DENTIST MICHELLE
DENTIST EILEEN
DENTIST VASILIKI
DENTIST SALVADOR
Page 1186 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRUESDALE 1114250628 1164555124 02/25/2019
LARACUENTE 1922106517 1922106517 10/22/2012
RAMIREZ 1861465726 1861465726 06/24/2013
DAMIANO 1801007935 1164555124 01/06/2020
YAMANO 1184044661 1164555124 08/17/2020
ANTONOFF 1457354417 1164555124 01/06/2020
FRIEDMAN 1720255177 1164555124 01/06/2020
SEAGRIFF-CURTIN 1114093630 1386714228 12/30/2013
YANG 1932127586 1245401322 09/24/2012
WISNIEWSKI 1649610122 1912225236 03/09/2015
KRONENBERG 1023060670 1164555124 03/14/2016
KARLIS 1700947793 1073535027 06/07/2021
GALES 1720062383 1720062383 03/06/2017
Page 1187 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2012 1 11372 QUEENS
2012 1 11368 QUEENS
2018 3 10010 NEW YORK
2019 4 10010 NEW YORK
2018 2 10016 NEW YORK
2018 3 10010 NEW YORK
2013 2 10595 WESTCHESTER
2012 1 11355 QUEENS
2014 1 13501 ONEIDA
2016 1 10010 NEW YORK
2020 2 10038 NEW YORK
2012 1 11420 QUEENS
Page 1188 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LARACUENTE DESIREE ZOE DDS (40.749338, -
73.789673)
828 2137 11
RAMIREZ WASCAR (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
EMPRESS DENTAL SERVICE PLLC (40.749338, -
73.789673)
828 2137 11
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
GALES SALVADOR EBREO DMD (40.749338, -
73.789673)
828 2137 11
Page 1189 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 111
37 108
37 108
37 108
37 108
224
37 111
794
37 108
37 108
37 111
Page 1190 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NORMAN
DENTIST KIMBERLY
DENTIST ROBERT
DENTIST MANAL
DENTIST JEFFREY
DENTIST SURESH
DENTIST CRAIG
DENTIST PAULETTE
DENTIST RAVI
DENTIST SERGEY
DENTIST LESLIE
DENTIST JUAN
DENTIST FREDRIC
Page 1191 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SORKIN 1518016153 1164555124 03/14/2016
FERGUSON 1598913337 1467487637 02/11/2013
GLICKMAN 1104915230 1164555124 04/25/2016
GERGES 1073657730 1073657730 03/17/2014
MARGOLIN 1376663674 1164555124 08/24/2020
RAO 1972580918 1063480218 12/09/2013
GOTHELF 1154311298 1154311298 08/26/2013
PORTEOUS-COLE 1053494112 1285893719 05/05/2014
MADDALI 1528014602 1114178795 11/02/2015
LITVINOV 1538250782 1538250782 11/22/2016
ABRAHAM 1598991044 1164555124 11/25/2019
PESANTES 1225208101 1225208101 11/03/2017
LEE 1265597512 1003093436 11/09/2015
Page 1192 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2012 1 10562 WESTCHESTER
2016 1 10010 NEW YORK
2013 1 11422 QUEENS
2019 4 10010 NEW YORK
2013 1 10950 ORANGE
2013 1 11372 QUEENS
2013 1 10573 WESTCHESTER
2015 2 10032 NEW YORK
2012 1 10039 NEW YORK
2018 3 10010 NEW YORK
2013 1 11418 QUEENS
2014 2 10016 NEW YORK
Page 1193 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GERGES MANAL FAWZY DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
GOTHELF CRAIG G DDS (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
LITVINOV SERGEY E DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PESANTES DENTAL PC (40.749338, -
73.789673)
828 2137 11
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -
74.005966)
737 2095 50
Page 1194 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 111
37 108
76
37 111
224
37 108
37 108
37 108
37 111
37 108
Page 1195 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOSEPH
DENTIST COLLEEN
DENTIST JINAKI
DENTIST BRADLEY
DENTIST DARSHAN
DENTIST DONALD
DENTIST STEVEN
DENTIST MUSLIMA
DENTIST JAMES
DENTIST DOMINICK
DENTIST LEONARD
DENTIST DAVID
DENTIST JULIE
Page 1196 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZELIG 1508948795 1164555124 07/17/2017
WATSON 1316086184 1164555124 03/14/2016
STALLWORTH 1871804740 1033124961 12/05/2016
HIRSCH 1174573976 1124334826 03/25/2013
PANCHAL 1962412130 1962412130 02/09/2017
SPITZER 1215072897 1164555124 11/25/2019
ENGEBRETSON 1265563589 1164555124 02/18/2019
KHANDAKAR 1548302417 1548302417 06/22/2015
SUNWOO 1376796433 1376796433 05/20/2016
CONGIUSTA 1427153543 1164555124 07/05/2021
BORETZ 1730177072 1730177072 03/24/2014
LEVINSKY 1902894843 1043224355 10/04/2021
YIP 1114325610 1164555124 08/17/2020
Page 1197 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2015 1 10038 NEW YORK
2012 1 10027 NEW YORK
2013 1 11757 SUFFOLK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2014 2 11432 QUEENS
2013 1 11722 SUFFOLK
2020 5 10010 NEW YORK
2013 1 11772 SUFFOLK
2021 2 10038 NEW YORK
2019 4 10010 NEW YORK
Page 1198 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
PANCHAL DARSHAN JAYEBDRA DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KHANDAKAR MUSLIMA JASMINE DDS (40.749338, -
73.789673)
828 2137 11
SUNWOO JAMES SR (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BORETZ LEONARD H DDS (40.820237, -
73.119032)
1421 2179 3
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1199 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
137
37 108
37 108
37 111
137
37 108
137
37 108
37 108
Page 1200 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ESTHER
DENTIST FLORA
DENTIST KAMRAN
DENTIST MARK
DENTIST TANZILA
DENTIST PELIN
DENTIST LAURENCE
DENTIST YI YING
DENTIST ZAN
DENTIST JUAN
DENTIST JUSTIN
DENTIST ALI
DENTIST MICHAEL
Page 1201 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KUYINU 1518006774 1164555124 02/18/2019
MOUNESSA 1326007667 1326007667 11/10/2014
FOROUGHI 1033178454 1275592693 11/30/2015
DANIELS 1467560136 1265707491 08/03/2015
CHAUDHRY 1831582931 1831582931 04/15/2019
SAHINLER-LYNCH 1578539458 1578539458 09/07/2017
WYNN 1215146337 1053482067 08/07/2017
SU 1154522605 1164555124 11/25/2019
CHANG 1508029034 1508029034 12/10/2018
DE FEX 1821052317 1821052317 01/27/2014
HURLBURT 1801051495 1396711982 06/25/2012
PAYAMI 1891954442 1063426377 08/17/2015
FRICCHIONE 1396826798 1164555124 03/07/2016
Page 1202 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2014 1 11423 QUEENS
2014 1 10007 NEW YORK
2015 1 11784 SUFFOLK
2017 2 10029 NEW YORK
2013 1 11743 SUFFOLK
2016 1 11794 SUFFOLK
2018 2 10010 NEW YORK
2017 2 11365 QUEENS
2013 1 11372 QUEENS
2011 1 12307 SCHENECTADY
2014 1 10128 NEW YORK
2016 1 10010 NEW YORK
Page 1203 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MOUNESSA FLORA (40.749338, -
73.789673)
828 2137 11
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (40.820237, -
73.119032)
1421 2179 3
CHAUDHRY TANZILA (40.726966, -
74.005966)
737 2095 50
SAHINLER-LYNCH PELIN (40.820237, -
73.119032)
1421 2179 3
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CHANG ZAN JANG DDS (40.749338, -
73.789673)
828 2137 11
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1204 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
137
37 108
137
137
37 108
37 111
37 111
617
37 108
37 108
Page 1205 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RICHARD
DENTIST YELENA
DENTIST GREGORY
DENTIST SANDRA
DENTIST JAMES
DENTIST MARK
DENTIST DAVID
DENTIST SERENA
DENTIST JOHN
DENTIST KAY
DENTIST GRETCHEN
DENTIST WINIFRED
DENTIST IRWIN
Page 1206 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRUSHKOWSKY 1962481994 1164555124 04/25/2016
PINKHAS 1821128273 1821128273 08/19/2013
BROWNE 1942327614 1164555124 01/20/2020
GENAO 1689890980 1689890980 09/19/2019
TOPPIN 1801805460 1508955592 01/11/2016
SCHLESINGER 1669479408 1164555124 02/25/2019
LEVINSKY 1902894843 1043224355 02/26/2018
KASSAM 1699978924 1164555124 02/18/2019
SALVI 1609947779 1164555124 03/14/2016
OEN 1538390778 1164555124 12/02/2019
HENSON 1578524872 1699076083 10/07/2013
LEE 1588996730 1912225236 02/04/2013
ZANDMAN 1750598082 1750598082 02/15/2016
Page 1207 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11372 QUEENS
2018 3 10010 NEW YORK
2015 2 11103 QUEENS
2015 1 11435 QUEENS
2017 2 10010 NEW YORK
2016 1 10038 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2013 1 10007 NEW YORK
2011 1 14544 YATES
2014 2 10029 NEW YORK
Page 1208 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PINKHAS YELENA S DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GENAO SANDRA ALTAGRACIA DDS (40.749338, -
73.789673)
828 2137 11
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
ZANDMAN I HARVEY (40.726966, -
74.005966)
737 2095 50
Page 1209 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 111
37 111
37 108
37 108
37 108
37 108
37 108
37 108
581
37 108
Page 1210 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DENISE
DENTIST BAPANAIAH
DENTIST STEVEN
DENTIST JUNG-MIN
DENTIST MICHAEL
DENTIST ALBERT
DENTIST THOMAS
DENTIST DAVID
DENTIST MICHEAL
DENTIST RAJENDARPAL
DENTIST WADUD
DENTIST MICHAEL
DENTIST FREDRIC
DENTIST PATRICIA
Page 1211 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ESTAFAN 1346648821 1164555124 08/24/2020
PENUGONDA 1043460595 1164555124 02/25/2019
PLATT 1124046529 1851328199 08/27/2012
KIM 1174679740 1174679740 11/27/2017
REALE 1982930616 1053482067 05/18/2015
NERI 1275524233 1669568465 12/29/2014
WIEDEMANN 1720442734 1164555124 01/20/2020
KIRSHENBAUM 1013906593 1720160690 05/20/2016
YEUNG 1477693562 1497046288 01/11/2016
DUGGAL 1083740799 1083740799 11/02/2018
REZA 1063526226 1497866933 05/13/2013
KRZEMIEN 1912017336 1255360517 10/07/2019
LEE 1265597512 1003093436 06/24/2013
SEAGRIFF-CURTIN 1114093630 1386714228 09/25/2017
Page 1212 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2011 1 10025 NEW YORK
2015 3 10001 NEW YORK
2014 1 11794 SUFFOLK
2014 1 14551 WAYNE
2018 3 10010 NEW YORK
2014 2 11722 SUFFOLK
2014 1 10013 NEW YORK
2014 1 10940 ORANGE
2012 1 13502 ONEIDA
2018 2 48093 OUT OF STATE
2012 1 10016 NEW YORK
2015 4 10595 WESTCHESTER
Page 1213 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
KIM JUNG-MIN DDS (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
FINGER LAKES MIGRANT HLTH (43.144336, -
77.117995)
318 631 54
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
YEUNGS DENTAL CARE PC (40.726966, -
74.005966)
737 2095 50
DUGGAL PAUL (41.422459, -
74.241929)
1496 2134 32
AMANDEEP ARORA DDS PC (43.149482, -
75.361773)
1281 625 40
ROCHESTER GENERAL HOSPITAL
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, - 1440 2185 53
Page 1214 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
137
809
37 108
137
37 108
76
794
37 108
224
Page 1215 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TARA
DENTIST CHANNA
DENTIST MARINA
DENTIST YULY
DENTIST BASSEL
DENTIST DUTRAN
DENTIST COLLEEN
DENTIST COSMO
DENTIST MARIA
DENTIST SOFIA
DENTIST SHELDON
DENTIST PAUL
DENTIST ROBERT
Page 1216 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BYRD 1740418714 1164555124 02/18/2019
JAYATILAKA 1063612810 1720160690 09/23/2013
PODLUBNY 1023280690 1023280690 11/17/2014
GERTSBERG 1255485165 1013924372 07/31/2017
HADDAD 1740602986 1669470019 04/26/2021
DO 1053490961 1063426377 08/09/2021
WATSON 1316086184 1164555124 12/23/2019
DESTENO 1518920727 1164555124 01/06/2020
IRIZARRY 1760756779 1467486449 05/13/2013
VRATARIC 1841338225 1245498500 05/20/2021
MILO 1437161965 1366613317 09/24/2012
BERNSTEIN 1194899575 1164555124 03/14/2016
LANDMAN 1568486074 1164555124 02/18/2019
Page 1217 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2013 1 11722 SUFFOLK
2014 1 10032 NEW YORK
2015 1 10038 NEW YORK
2020 2 10977 ROCKLAND
2021 5 10038 NEW YORK
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2012 1 10035 NEW YORK
2014 1 10128 NEW YORK
2011 1 11901 SUFFOLK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
Page 1218 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.805386)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
PODLUBNY MARINA I DDS (40.726966, -
74.005966)
737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
STATION ASSOCIATES INC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1219 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
37 108
37 108
154
37 108
37 108
37 108
37 108
37 108
137
37 108
37 108
Page 1220 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALEXIS
DENTIST RUBEN
DENTIST MARTIN
DENTIST JOSE
DENTIST ANETA
DENTIST NICHOLAS
DENTIST BRUCE
DENTIST RALPH
DENTIST ARVIND
DENTIST ROBERT
DENTIST YELIZAVETA
DENTIST SONAL
DENTIST BENN
Page 1221 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COHEN 1245674472 1164555124 11/25/2019
DIAZ 1366432304 1366432304 09/19/2019
LAPIDUS 1639172638 1164555124 07/05/2021
ANGELES 1124246590 1124246590 11/04/2013
WOJCIK 1750583027 1023024882 10/02/2017
GIANNUZZI 1659462265 1164555124 01/06/2020
BRANDOLIN 1669686176 1164555124 03/07/2016
CUNNINGHAM 1336369461 1164555124 04/25/2016
SHAH 1336275569 1336275569 09/01/2017
GEDEON 1538257001 1356457303 12/30/2019
ABRAMS 1104956697 1104956697 07/08/2013
SHAH 1265620181 1164555124 08/24/2020
LIEBERMAN 1255489977 1679587679 06/12/2017
Page 1222 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 3 10010 NEW YORK
2014 2 11368 QUEENS
2020 5 10010 NEW YORK
2013 1 11691 QUEENS
2016 1 10038 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 10009 NEW YORK
2018 4 14301 NIAGARA
2012 1 11373 QUEENS
2019 4 10010 NEW YORK
2015 1 10038 NEW YORK
Page 1223 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DIAZ RUBEN DARIO DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ANGELES JOSE RAFAEL DDS (40.749338, -
73.789673)
828 2137 11
NORTH CENTRAL BRONX (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAH ARVIND P DDS (40.726966, -
74.005966)
737 2095 50
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
ABRAMS ELIZABETH DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, - 737 2095 50
Page 1224 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 111
37 108
37 108
37 108
37 108
37 108
835
37 111
37 108
37 108
Page 1225 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JONATHAN
DENTIST EARL
DENTIST ANDRE
DENTIST JEE YUP
DENTIST PEDRO
DENTIST MARCRID
DENTIST GENEVIEVE
DENTIST MARYAM
DENTIST MIJIN
DENTIST JEANNE
DENTIST ADAM
DENTIST STEVEN
DENTIST YULIAN
Page 1226 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHECTER 1295974756 1295974756 11/04/2013
CLARKSON 1659397578 1467469023 05/09/2016
MONTAZEM 1740242437 1063426377 01/14/2019
KIM 1831350222 1174830566 01/19/2015
ALVAREZ 1063446771 1467432765 04/15/2013
GARJARIAN 1942355599 1942355599 11/04/2013
ICART-BANDALI 1780760249 1356406136 08/31/2020
HARIRI 1851627376 1700943750 09/15/2014
CHOI 1962661728 1164555124 08/31/2020
NERVINA 1417081365 1164555124 03/14/2016
MASLOW 1013049592 1013049592 04/06/2015
KOLLANDER 1841280724 1841280724 12/30/2013
BERLIN 1568774719 1003232463 01/01/2018
Page 1227 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11370 QUEENS
2015 1 10038 NEW YORK
2017 2 10038 NEW YORK
2014 2 11104 QUEENS
2012 2 13617 ST.LAWRENCE
2013 1 11104 QUEENS
2019 2 10038 NEW YORK
2013 1 10543 WESTCHESTER
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2015 1 11743 SUFFOLK
2013 1 11385 QUEENS
2016 1 10901 ROCKLAND
Page 1228 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SCHECTER JONATHAN ELI DDS (40.749338, -
73.789673)
828 2137 11
WOODHULL MED & MNTL HLTH CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
JEEYUP DENTAL PC (40.749338, -
73.789673)
828 2137 11
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
GARJARIAN MARCRID A DDS (40.749338, -
73.789673)
828 2137 11
CUMBERLAND D & T CTR (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MASLOW ADAM M DMD (40.820237, -
73.119032)
1421 2179 3
KOLLANDER STEVEN A DDS (40.749338, -
73.789673)
828 2137 11
NORTH COUNTRY PEDIATRIC DENTISITRY (41.127287, - 1546 628 27
Page 1229 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 111
919
37 111
37 108
224
37 108
37 108
137
37 111
154
Page 1230 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEROME
DENTIST MICHELLE
DENTIST DOMINICK
DENTIST JYOTHI
DENTIST ROBERT
DENTIST AFSHAN
DENTIST CONSUELO
DENTIST NAMASSIVAYA
DENTIST VIVIAN
DENTIST DENISE
DENTIST LYUBA
DENTIST JONATHAN
DENTIST LAWRENCE
Page 1231 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAPLAN 1770715708 1164555124 03/21/2016
GHUSSON 1780723387 1780723387 06/09/2014
CONGIUSTA 1427153543 1164555124 02/18/2019
KAVURI 1548271836 1619969458 03/17/2014
SANFORD 1073635942 1164555124 02/25/2019
HAQUE 1730161696 1730161696 05/18/2015
POVEDA 1942308366 1942308366 10/26/2017
SUMITHRA 1245453000 1245453000 12/09/2019
WASMUHT-PERROUD 1841382124 1164555124 01/06/2020
ESTAFAN 1346648821 1164555124 02/18/2019
TAFT 1699764324 1699764324 05/08/2017
FEDER 1376801951 1528306370 12/07/2015
BAILEY 1538224811 1235147497 10/09/2017
Page 1232 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 10016 NEW YORK
2017 2 10010 NEW YORK
2013 1 10924 ORANGE
2017 2 10010 NEW YORK
2014 2 10027 NEW YORK
2013 1 11372 QUEENS
2018 4 12065 SARATOGA
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 11692 QUEENS
2015 1 07666 OUT OF STATE
2016 1 10038 NEW YORK
Page 1233 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.017033)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GHUSSON MICHELLE DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HAQUE AFSHAN DDS (40.726966, -
74.005966)
737 2095 50
POVEDA CONSUELO (40.749338, -
73.789673)
828 2137 11
SUMITHRA NAMASSIVAYA DDS (43.00894, -
73.786779)
1148 2141 42
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TAFT DENTAL PC (40.749338, -
73.789673)
828 2137 11
DR LAWRENCE FEDER
RENAISSANCE HLTH CARE NETWORK (40.726966, -
74.005966)
737 2095 50
Page 1234 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
76
37 108
37 108
37 111
733
37 108
37 108
37 111
37 108
Page 1235 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST JUNOH
DENTIST JASON
DENTIST WAI
DENTIST NEIL
DENTIST AARON
DENTIST SVETLANA
DENTIST MYRON
DENTIST ARTHUR
DENTIST ERIKA
DENTIST ROBERT
DENTIST KRISTINE
DENTIST GENNADY
Page 1236 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAMILTON 1518049972 1043224355 09/25/2017
KIM 1285072298 1912225236 06/01/2015
STARACE 1508065038 1164555124 07/05/2021
CHAN 1104185784 1912225236 01/01/2018
SHAH 1417186545 1669470019 01/14/2013
SOEPRONO 1275610255 1164555124 02/25/2019
SHAPIRO 1184818429 1184818429 10/26/2017
KLEIN 1265443675 1164555124 08/24/2020
KUBIKIAN 1235175407 1164555124 02/18/2019
BRODKIN 1417019845 1467487637 08/19/2019
GUREASKO 1134337389 1164555124 11/18/2019
WATKINS 1043346182 1144273996 05/27/2013
BENYAMINOV 1740264753 1972681484 10/01/2012
Page 1237 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10038 NEW YORK
2014 1 14544 YATES
2020 5 10010 NEW YORK
2016 3 13501 ONEIDA
2012 1 10977 ROCKLAND
2017 2 10010 NEW YORK
2013 1 10040 NEW YORK
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2018 4 10562 WESTCHESTER
2018 3 10010 NEW YORK
2012 1 11787 SUFFOLK
2012 1 10952 ROCKLAND
Page 1238 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAPIRO SVETLANA (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
Page 1239 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
581
37 108
794
154
37 108
37 108
37 108
37 108
224
37 108
137
154
Page 1240 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOHN
DENTIST JACLYN
DENTIST NARA
DENTIST STEVEN
DENTIST ROBERT
DENTIST NUZHAT
DENTIST FRANCIS
DENTIST ANGELA
DENTIST NORMAN
DENTIST NIRA
DENTIST ASHOK
DENTIST ISABEL
DENTIST PAYAM
Page 1241 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE 1255487112 1154501526 01/27/2014
PARK 1588785521 1164555124 03/21/2016
KIM 1104075464 1891968012 05/05/2014
IZZO 1750379699 1750379699 04/08/2016
EYCKMANS 1447261128 1447261128 11/19/2018
SIDDIQUI 1770560344 1770560344 10/11/2019
TUNG 1962536987 1164555124 02/25/2019
DE BARTOLO 1033235890 1164555124 11/18/2019
KLEIN 1215918776 1558533828 01/19/2015
DWIVEDI 1497935704 1063426377 11/25/2019
CHAINANI 1669643474 1669643474 03/03/2014
ULERIO-BONILLA 1346338712 1346338712 07/06/2015
KASHANI 1154413177 1801803903 03/29/2021
Page 1242 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11358 QUEENS
2016 1 10010 NEW YORK
2013 1 10005 NEW YORK
2011 1 11385 QUEENS
2017 6 10029 NEW YORK
2015 1 11746 SUFFOLK
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 10952 ROCKLAND
2018 2 10038 NEW YORK
2013 1 10304 RICHMOND
2014 2 10034 NEW YORK
2020 3 10038 NEW YORK
Page 1243 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JOHN LEE DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
SIDDIQUI NUZHAT HAROON DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
CHAINANI ASHOK NANIKRAM DDS (40.566763, -
74.148102)
609 2139 47
ULERIO BONILLA YSABEL DDS (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
Page 1244 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 111
37 108
137
37 108
37 108
154
37 108
37 7
37 108
37 108
Page 1245 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MOHAMMED
DENTIST AFSHAN
DENTIST ARMIN
DENTIST ALKA
DENTIST MERCEDES
DENTIST ILYA
DENTIST ALEXANDER
DENTIST GARY
DENTIST MOHAMMAD
DENTIST PETER
DENTIST KENNETH
DENTIST LEIGH
DENTIST RAJNI
Page 1246 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAHABUDDIN 1245229210 1982880159 02/26/2019
HAQUE 1730161696 1730161696 02/17/2014
LALEHZARI 1003020256 1003020256 11/02/2015
PATEL 1760544001 1467487637 08/14/2017
MOTA-MARTINEZ 1073572996 1578697066 07/15/2013
YAGUDAYEV 1063402774 1063402774 10/29/2012
KERR 1306994645 1164555124 02/18/2019
GOLDSTEIN 1629198916 1164555124 03/07/2016
MIA 1992795637 1992795637 08/04/2014
MYCHAJLIW 1912062431 1164555124 08/31/2020
MAGID 1235141045 1164555124 07/31/2017
BUSCH 1366519993 1164555124 07/05/2021
PATEL 1447241583 1447241583 04/15/2013
Page 1247 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 11106 QUEENS
2013 1 10027 NEW YORK
2014 2 11372 QUEENS
2015 2 10562 WESTCHESTER
2012 1 11368 QUEENS
2012 1 11375 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11373 QUEENS
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 10504 WESTCHESTER
Page 1248 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MOHAMMED SHAHABUDDIN DENTAL PC (40.749338, -
73.789673)
828 2137 11
HAQUE AFSHAN DDS (40.726966, -
74.005966)
737 2095 50
LALEHZARI ARMIN DDS (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
MOTA MARTINEZ M DENTIST PC (40.749338, -
73.789673)
828 2137 11
ILYA YAGUDAYEV DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIA MOHAMMAD M I DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PATEL RAJNI P (41.039278, -
73.805386)
1440 2185 53
Page 1249 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 111
224
37 111
37 111
37 108
37 108
37 111
37 108
37 108
37 108
224
Page 1250 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOHN
DENTIST CHANDRAKANT
DENTIST GEORGE
DENTIST DANIELLE
DENTIST PETER
DENTIST DEEPA
DENTIST LLOYD
DENTIST SANDRA
DENTIST SINAN
DENTIST GEORGINA
DENTIST JAMES
DENTIST MARIA
DENTIST ANDREW
Page 1251 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SUNG 1801930698 1164555124 02/25/2019
TOPRANI 1184761934 1184761934 01/12/2015
RAYMOND 1073503991 1164555124 02/25/2019
PANG 1982836888 1285893719 07/16/2012
HWANG 1366585671 1851328199 10/07/2013
JAYAM 1063677953 1063677953 03/25/2013
LANDA 1144301011 1164555124 04/25/2016
JOHNSON 1487872057 1619969458 11/09/2015
ABDULLAH 1376519892 1396711982 06/01/2015
LOPEZ 1144495607 1144495607 02/18/2013
LOPRESTI 1699825448 1164555124 02/25/2019
RODRIGUEZ-CARDENAS 1013151125 1164555124 04/25/2016
SCHENKEL 1689805483 1164555124 03/14/2016
Page 1252 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2014 1 12528 ULSTER
2017 2 10010 NEW YORK
2011 1 10573 WESTCHESTER
2013 2 10025 NEW YORK
2012 1 11368 QUEENS
2016 1 10010 NEW YORK
2015 1 11969 SUFFOLK
2014 3 12307 SCHENECTADY
2012 1 11372 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
Page 1253 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TOPRANI CHANDRAKANT T DDS (41.848374, -
74.099412)
264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
JAYAM DEEPA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (40.820237, -
73.119032)
1421 2179 3
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
LOPEZ GEORGINA MARIA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1254 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
198
37 108
224
37 108
37 111
37 108
137
617
37 111
37 108
37 108
37 108
Page 1255 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KRISTINE
DENTIST YAEL
DENTIST WILLIAM
DENTIST CRISTINA
DENTIST YI YING
DENTIST GARY
DENTIST RAJNI
DENTIST OLIVIER
DENTIST EMAD
DENTIST MARIA
DENTIST CARLOS
DENTIST PREETHA
DENTIST ANALIA
Page 1256 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WATKINS 1043346182 1144273996 08/31/2015
ORTIZ 1073597902 1669470019 10/22/2012
REYER 1861801912 1164555124 04/25/2016
CONSTANTINESCU 1952466906 1952466906 08/05/2013
SU 1154522605 1164555124 08/17/2020
HERSKOVITS 1942376389 1164555124 07/05/2021
PATEL 1447241583 1447241583 11/22/2016
NICOLAY 1073863015 1164555124 11/18/2019
IBRAHIM 1558403204 1558403204 01/06/2014
CORDERO-RICARDO 1083848931 1053482067 09/15/2014
OVALLE 1790988939 1790988939 10/20/2014
KURUVILLA 1760677165 1760677165 05/20/2016
KEENAN 1801979950 1164555124 08/24/2020
Page 1257 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 11787 SUFFOLK
2012 1 10977 ROCKLAND
2016 1 10010 NEW YORK
2013 1 11423 QUEENS
2019 3 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 10504 WESTCHESTER
2018 3 10010 NEW YORK
2013 1 11757 SUFFOLK
2014 1 11794 SUFFOLK
2014 2 10033 NEW YORK
2014 1 11004 QUEENS
2019 3 10010 NEW YORK
Page 1258 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CONSTANTINESCU CRISTINA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PATEL RAJNI P (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
IBRAHIM EMAD EZZAT DDS PC (40.820237, -
73.119032)
1421 2179 3
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
OVALLE CARLOS MANUEL DDS (40.726966, -
74.005966)
737 2095 50
KURUVILLA PREETHA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1259 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
154
37 108
37 111
37 108
37 108
224
37 108
137
137
37 108
37 111
37 108
Page 1260 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NAIDA
DENTIST BHARATI
DENTIST ASGEIR
DENTIST RAJENDARPAL
DENTIST RAHA
DENTIST ROBERT
DENTIST SHAOCHI
DENTIST REKHA
DENTIST JULIUS
DENTIST RAVI
DENTIST STEVEN
DENTIST PAMELA
DENTIST SAMUEL
Page 1261 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HENRIQUEZ 1770645640 1467487637 08/19/2019
BEDI 1104885854 1104885854 09/15/2014
SIGURDSSON 1255746301 1164555124 11/25/2019
DUGGAL 1083740799 1083740799 01/12/2015
IRAJ 1760545164 1285893719 08/28/2017
LANDMAN 1568486074 1164555124 07/31/2017
CHIOU 1760785547 1043525926 08/26/2013
MATHEW 1992952782 1619969458 03/05/2018
BERGER 1265422075 1043224355 09/25/2017
MADDALI 1528014602 1114178795 08/06/2018
NADLER 1346598612 1063480218 04/20/2015
CHENG 1093820672 1164555124 03/07/2016
KRAMER 1497811699 1164555124 01/06/2020
Page 1262 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 4 10562 WESTCHESTER
2013 1 11742 SUFFOLK
2018 3 10010 NEW YORK
2014 1 10940 ORANGE
2015 2 10573 WESTCHESTER
2016 1 10010 NEW YORK
2013 1 11421 QUEENS
2015 2 10927 ROCKLAND
2015 1 10038 NEW YORK
2016 3 10032 NEW YORK
2014 2 10950 ORANGE
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
Page 1263 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
BEDI BHARATI DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DUGGAL PAUL (41.422459, -
74.241929)
1496 2134 32
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WOODHAVEN ORTHODONTICS PLLC (40.749338, -
73.789673)
828 2137 11
HUDSON RIVER HEALTHCARE INC (41.127287, -
74.017033)
1546 628 27
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1264 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
137
37 108
76
224
37 108
37 111
154
37 108
37 108
76
37 108
37 108
Page 1265 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAMON
DENTIST AARON
DENTIST JANET
DENTIST FREDRIC
DENTIST YOLANDA
DENTIST ELEANOR
DENTIST KATHERINE
DENTIST SHELDEN
DENTIST JOHN
DENTIST DAVID
DENTIST KELI
DENTIST DANIEL
DENTIST HANUBAL
Page 1266 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ANDERSON 1144330143 1144330143 02/23/2015
WICKS 1790978971 1790978971 02/09/2017
BOZZONE 1689737231 1467487637 03/12/2012
LEE 1265597512 1003093436 10/30/2017
GEORGE 1194707083 1508955592 01/11/2016
OLSEN 1871503144 1124032982 08/03/2015
KIM 1851553259 1851553259 04/23/2018
SACKS 1457335960 1457335960 09/04/2017
DOLAN 1861879827 1164555124 08/31/2020
GOLDBERG 1962492967 1962492967 10/22/2012
HOLLIS 1487885505 1467432765 03/09/2015
CERIO 1306933312 1306933312 08/24/2015
GOPALASWAMY 1376531608 1376531608 06/09/2014
Page 1267 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 12866 SARATOGA
2013 1 10027 NEW YORK
2011 1 10562 WESTCHESTER
2015 3 10016 NEW YORK
2015 1 11435 QUEENS
2014 1 10312 RICHMOND
2015 2 10705 WESTCHESTER
2016 1 13069 OSWEGO
2019 2 10010 NEW YORK
2012 1 11426 QUEENS
2014 3 13617 ST.LAWRENCE
2015 1 13502 ONEIDA
2013 1 10977 ROCKLAND
Page 1268 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ANDERSON DAMON A (43.00894, -
73.786779)
1148 2141 42
WICKS AARON J DDS (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -
74.005966)
737 2095 50
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
CONEY ISLAND HOSPITAL (40.566763, -
74.148102)
609 2139 47
KIM KATHERINE KYUNGMIN DDS (41.039278, -
73.805386)
1440 2185 53
SACKS SHELDEN N DDS (43.39123, -
76.31133)
623 2135 41
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DAVID GOLDBERG (40.749338, -
73.789673)
828 2137 11
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
CERIO DANIEL (43.149482, -
75.361773)
1281 625 40
GOPALASWAMY HANUBAL S DDS (41.127287, -
74.017033)
1546 628 27
Page 1269 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
733
37 108
224
37 108
37 111
37 7
224
533
37 108
37 111
919
794
154
Page 1270 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST BRUCE
DENTIST LEILA
DENTIST MARK
DENTIST JED
DENTIST HOLLY
DENTIST PATRICIA
DENTIST PRITESH
DENTIST HAROLD
DENTIST MELVYN
DENTIST STEVEN
DENTIST GARY
DENTIST AMANPREET
Page 1271 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REINER 1508998311 1053482067 12/08/2014
BRANDOLIN 1669686176 1164555124 08/24/2020
JAHANGIRI 1386792729 1164555124 02/18/2019
WOLFF 1821258336 1164555124 02/25/2019
NORDFELT 1871888735 1669568465 09/02/2013
SHAW 1942578489 1306898432 05/15/2017
MILLER 1568559870 1568559870 12/17/2012
NATHOO 1265728315 1124334826 05/05/2014
STRAUSS 1427265644 1164555124 08/24/2020
SEGAL 1740428721 1164555124 07/05/2021
RESNICK 1518982255 1164555124 03/14/2016
BERKOWITZ 1285812800 1164555124 11/25/2019
GILL 1609163955 1497700736 04/25/2016
Page 1272 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11794 SUFFOLK
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 14551 WAYNE
2015 1 10011 NEW YORK
2012 1 10940 ORANGE
2013 1 10027 NEW YORK
2019 4 10010 NEW YORK
2020 5 10010 NEW YORK
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 11692 QUEENS
Page 1273 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (43.144336, -
77.117995)
318 631 54
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -
74.005966)
737 2095 50
MILLER PATRICIA ELIZABETH DDS (41.422459, -
74.241929)
1496 2134 32
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
Page 1274 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 108
37 108
809
37 108
76
37 108
37 108
37 108
37 108
37 108
37 111
Page 1275 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BABAK
DENTIST MARK
DENTIST LOUIS
DENTIST JULIA
DENTIST TIANA
DENTIST JESSICA
DENTIST MUSLIMA
DENTIST NICHOLAS
DENTIST MARIBEL
DENTIST ROBERT
DENTIST KRISTINE
DENTIST SCOTT
DENTIST MANUEL
Page 1276 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAMIDI 1275628356 1164555124 02/18/2019
BERMAN 1013924414 1619969458 05/28/2018
DE SANTIS 1447321096 1164555124 03/14/2016
ABEND 1740229186 1154463016 09/23/2013
OSBOURNE 1598157141 1689669079 08/14/2017
BARCESSAT 1881873875 1124334826 10/01/2012
KHANDAKAR 1548302417 1548302417 02/10/2014
GIANNUZZI 1659462265 1164555124 07/05/2021
MONTES 1356492136 1912168006 05/27/2013
GLICKMAN 1104915230 1164555124 08/17/2020
WATKINS 1043346182 1144273996 09/08/2014
WEISS 1003026899 1003026899 02/26/2019
GALAN 1619054947 1619054947 01/12/2015
Page 1277 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2016 3 12561 ULSTER
2016 1 10010 NEW YORK
2013 1 11323 QUEENS
2016 1 12518 ORANGE
2012 1 10027 NEW YORK
2013 1 11432 QUEENS
2020 5 10010 NEW YORK
2012 1 11377 QUEENS
2019 3 10010 NEW YORK
2013 2 11787 SUFFOLK
2014 1 11360 QUEENS
2014 2 10031 NEW YORK
Page 1278 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.848374, -
74.099412)
264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
KHANDAKAR MUSLIMA JASMINE DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
VELAZQUEZ-MONTES DDS PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPTI-HEALTHCARE (40.820237, -
73.119032)
1421 2179 3
WEISS SCOTT EVAN DDS (40.749338, -
73.789673)
828 2137 11
GALAN DENTAL PC (40.726966, -
74.005966)
737 2095 50
Page 1279 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
198
37 108
37 111
76
37 108
37 111
37 108
37 111
37 108
137
37 111
37 108
Page 1280 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TARA
DENTIST KATSUSHI
DENTIST WAYNE
DENTIST BERNARDO
DENTIST ROBERT
DENTIST ROBERT
DENTIST MOHAMMAD
DENTIST MORDEHAY
DENTIST MARK
DENTIST SAMSON
DENTIST JOSEPH
DENTIST ANDERSON
DENTIST MEA
Page 1281 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BYRD 1740418714 1164555124 08/24/2020
OKAZAKI 1134536857 1164555124 02/25/2019
KYE 1154430965 1164555124 11/18/2019
GIL 1346300951 1396736120 05/28/2012
HOROWITZ 1316029614 1164555124 12/23/2019
GEDEON 1538257001 1356457303 05/28/2018
RAHMAN 1700924362 1700924362 02/10/2014
RUBINCHIK 1508088899 1972681484 06/22/2015
BORNFELD 1427050541 1164555124 08/24/2020
SOLOMON 1174708903 1851372742 06/26/2017
MORALES 1649352444 1013924372 09/11/2017
HUANG 1306947825 1164555124 12/23/2019
WEINBERG 1568594976 1164555124 01/06/2020
Page 1282 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2011 1 10550 WESTCHESTER
2018 3 10010 NEW YORK
2016 2 14301 NIAGARA
2013 1 11432 QUEENS
2015 1 10952 ROCKLAND
2019 4 10010 NEW YORK
2013 1 11375 QUEENS
2016 1 10038 NEW YORK
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
Page 1283 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MT VERNON NEIGH HLTH CTR INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
RAHMAN MOHAMMAD WAHEDUR (40.749338, -
73.789673)
828 2137 11
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TWINS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1284 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
224
37 108
835
37 111
154
37 108
37 111
37 108
37 108
37 108
Page 1285 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOSEPHINE
DENTIST NARENDRA
DENTIST AUDREY
DENTIST CLIFFORD
DENTIST JESSICA
DENTIST SANDRA
DENTIST MARCRID
DENTIST ROSA
DENTIST GENE
DENTIST MORAIMA
DENTIST PEDRO
DENTIST KONSTANTINE
DENTIST KASHMIRA
Page 1286 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LOMANGINO-CHEUNG 1750431631 1164555124 02/25/2019
PATEL 1720158884 1720158884 03/28/2016
RAMSAY 1316151699 1316151699 08/05/2019
HAMES 1437173143 1619969458 02/26/2018
LEE 1962694901 1639445745 05/01/2017
GENAO 1689890980 1689890980 05/01/2017
GARJARIAN 1942355599 1942355599 05/11/2017
DIAZ 1922260983 1922260983 06/16/2014
SHERWIN 1740411222 1164555124 11/25/2019
DE LA CRUZ 1023007473 1023007473 04/15/2013
ALVAREZ 1063446771 1467432765 08/28/2017
KISELEV 1285846899 1285846899 12/29/2014
DEMEIRELES 1871649194 1871649194 08/19/2013
Page 1287 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2015 1 11435 QUEENS
2014 1 10805 WESTCHESTER
2015 2 10566 WESTCHESTER
2013 1 10583 WESTCHESTER
2013 1 11103 QUEENS
2013 1 11104 QUEENS
2014 1 10002 NEW YORK
2018 3 10010 NEW YORK
2012 1 11378 QUEENS
2015 4 13617 ST.LAWRENCE
2014 1 10301 RICHMOND
2013 1 11701 SUFFOLK
Page 1288 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PATEL NARENDRA D DDS (40.749338, -
73.789673)
828 2137 11
RAMSAY AUDREY THERESA DDS (41.039278, -
73.805386)
1440 2185 53
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
WE SMILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
GENAO SANDRA ALTAGRACIA DDS (40.749338, -
73.789673)
828 2137 11
GARJARIAN MARCRID A DDS (40.749338, -
73.789673)
828 2137 11
PROFESSIONAL DENTAL OFFICE PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DELACRUZ MORAIMA R DDS (40.749338, -
73.789673)
828 2137 11
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
KISELEV KONSTANTIN D DDS (40.566763, -
74.148102)
609 2139 47
DEMEIRELES KASHMIRA DDS (40.820237, -
73.119032)
1421 2179 3
Page 1289 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
224
224
224
37 111
37 111
37 108
37 108
37 111
919
37 7
137
Page 1290 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FLORINE
DENTIST ELIZABETH
DENTIST TARA
DENTIST FIOR
DENTIST SHERINE
DENTIST IRWIN
DENTIST KEVIN
DENTIST MALCOLM
DENTIST MAGED
DENTIST HENRY
DENTIST ALBINA
DENTIST RICARDO
DENTIST MATTHEW
Page 1291 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ABRAHAM 1821439688 1669470019 02/09/2015
MITRANI 1982850947 1124334826 12/02/2013
BYRD 1740418714 1164555124 03/07/2016
RODRIGUEZ 1407993603 1407993603 01/20/2014
BOTROS 1265729800 1821045485 07/31/2017
ZANDMAN 1750598082 1750598082 07/29/2013
SHEREN 1033133749 1033133749 09/30/2013
STEWART 1982826848 1982826848 02/10/2014
ISKAROS 1023177227 1164555124 07/05/2021
KARLIN 1629181375 1508955592 09/13/2021
POLT 1205826591 1205826591 06/16/2014
ALEXANDER 1902950421 1902950421 07/20/2017
WOOLSEY 1811030141 1669568465 09/02/2013
Page 1292 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 10977 ROCKLAND
2013 2 10027 NEW YORK
2016 1 10010 NEW YORK
2013 1 10033 NEW YORK
2016 1 11433 QUEENS
2012 1 10029 NEW YORK
2013 1 11946 SUFFOLK
2013 1 11432 QUEENS
2020 5 10010 NEW YORK
2021 2 11435 QUEENS
2014 1 11374 QUEENS
2013 1 11743 SUFFOLK
2012 1 14456 ONTARIO
Page 1293 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RODRIGUEZ FIOR BERENY (40.726966, -
74.005966)
737 2095 50
MEDISYS FAMILY CARE (40.749338, -
73.789673)
828 2137 11
ZANDMAN I HARVEY (40.726966, -
74.005966)
737 2095 50
SHEREN KEVIN L (40.820237, -
73.119032)
1421 2179 3
STEWART MALCOLM D DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
A P DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
ALEXANDER RICARDO DDS (40.820237, -
73.119032)
1421 2179 3
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
Page 1294 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 108
37 108
37 108
37 111
37 108
137
37 111
37 108
37 111
37 111
137
691
Page 1295 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FLORENCE
DENTIST NABIL
DENTIST MARIA
DENTIST SOHELI
DENTIST EARL
DENTIST DAVID
DENTIST DAVID
DENTIST FRANCISCO
DENTIST MARIA
DENTIST THOMAS
DENTIST ARTHUR
DENTIST ERIKA
DENTIST RICHARD
Page 1296 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TEMBA 1659381820 1124032982 07/27/2020
FARRA 1427260272 1427260272 08/04/2014
IRIZARRY 1760756779 1467486449 07/21/2014
AZAD 1093924755 1093924755 11/18/2013
CLARKSON 1659397578 1467469023 07/20/2020
SIROIS 1528128170 1164555124 08/24/2020
VAZEMILLER 1801952627 1164555124 03/21/2016
MEJIA 1225117690 1225117690 07/09/2019
LUCIA 1740358175 1740358175 01/21/2013
ELLIOTT 1639222011 1427063270 05/09/2016
YAM 1356516553 1407088008 02/18/2013
BRODKIN 1417019845 1467487637 03/12/2012
SALINE 1497775415 1497775415 11/30/2017
Page 1297 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 2 10038 NEW YORK
2014 1 10543 WESTCHESTER
2013 2 10035 NEW YORK
2013 1 11372 QUEENS
2019 2 10038 NEW YORK
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 11717 SUFFOLK
2012 1 13088 ONONDAGA
2015 1 10038 NEW YORK
2012 1 10001 NEW YORK
2011 1 10562 WESTCHESTER
2013 1 11421 QUEENS
Page 1298 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -
74.005966)
737 2095 50
FARRA SAMARNEH NABIL E DDS (41.039278, -
73.805386)
1440 2185 53
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
AZAD SOHELI ANAR (40.749338, -
73.789673)
828 2137 11
WOODHULL MED & MNTL HLTH CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MEJIA FRANCISCO DDS (40.820237, -
73.119032)
1421 2179 3
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -
74.005966)
737 2095 50
IAN D PASCH D D S P C (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
SALINE RICHARD C DMD (40.749338, -
73.789673)
828 2137 11
Page 1299 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 111
37 108
37 108
37 108
137
755
37 108
37 108
224
37 111
Page 1300 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SOON (SUE)
DENTIST FLORINE
DENTIST MARK
DENTIST DAVID
DENTIST MARCI
DENTIST NAUSHIR
DENTIST LOBSANG
DENTIST SURESH
DENTIST RUTH
DENTIST ROBERT
DENTIST FRANCIS
DENTIST MILADYS
DENTIST LYNDA
Page 1301 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HWANG 1679722383 1679722383 01/05/2015
ABRAHAM 1821439688 1669470019 10/12/2020
SALERNO 1366578726 1053482067 11/24/2014
LEVENSON 1497959837 1164555124 08/24/2020
LEVINE 1255321931 1164555124 08/24/2020
LALANI 1780674457 1053582544 10/06/2017
TSOMO 1174833644 1881991214 12/16/2013
RAO 1972580918 1063480218 08/10/2015
ALVEAR 1932314739 1932314739 05/13/2013
HOROWITZ 1316029614 1164555124 02/18/2019
TUNG 1962536987 1164555124 03/14/2016
HERNANDEZ 1851381073 1851381073 08/16/2016
ALBANDOZ 1063703080 1063703080 12/03/2018
Page 1302 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11372 QUEENS
2019 2 10977 ROCKLAND
2014 1 11794 SUFFOLK
2019 4 10010 NEW YORK
2019 4 10010 NEW YORK
2013 1 11691 QUEENS
2013 1 11370 QUEENS
2014 2 10950 ORANGE
2012 1 11377 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 11418 QUEENS
2017 2 11368 QUEENS
Page 1303 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HWANG SOON YOUNG (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NAUSHIR I LALANI DDS PC (40.749338, -
73.789673)
828 2137 11
DEBORAH NINA DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
ALVEAR DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HERNANDEZ MILADYS DDS (40.749338, -
73.789673)
828 2137 11
ALBANDOZ FUENTES LYNDA M (40.749338, -
73.789673)
828 2137 11
Page 1304 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
154
137
37 108
37 108
37 111
37 111
76
37 111
37 108
37 108
37 111
37 111
Page 1305 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RAID
DENTIST MOHAMMED
DENTIST SAGAR
DENTIST PETER
DENTIST MARIA
DENTIST KONSTANTINE
DENTIST SHELDON
DENTIST MARTIN
DENTIST SIGALIT
DENTIST ZAN
DENTIST WILLIAM
DENTIST LUCRETIA
DENTIST TAKYAN
Page 1306 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SADDA 1033100318 1164555124 02/25/2019
SHAHABUDDIN 1245229210 1982880159 09/24/2012
BARAL 1144239930 1144239930 08/19/2013
MYCHAJLIW 1912062431 1164555124 02/25/2019
MACDONALD 1255461521 1255461521 10/06/2017
MALAFIS 1699765784 1699765784 06/17/2019
WINIK 1417179151 1386714228 11/02/2015
LAPIDUS 1639172638 1164555124 01/06/2020
GLASER 1962717710 1558533828 01/19/2015
CHANG 1508029034 1508029034 03/14/2016
BONGIORNO 1679888564 1164555124 03/04/2019
DEPAOLA-CEFOLA 1225133010 1164555124 03/07/2016
CHAN 1205979051 1851328199 11/02/2015
Page 1307 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2012 1 11106 QUEENS
2013 1 11432 QUEENS
2017 2 10010 NEW YORK
2013 1 11375 QUEENS
2014 1 11105 QUEENS
2014 3 10595 WESTCHESTER
2018 3 10010 NEW YORK
2014 1 10952 ROCKLAND
2016 1 11365 QUEENS
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2014 3 10025 NEW YORK
Page 1308 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MOHAMMED SHAHABUDDIN DENTAL PC (40.749338, -
73.789673)
828 2137 11
BARAL SAGAR KUMAR (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MACDONALD MARIA LAGAIDA DDS (40.749338, -
73.789673)
828 2137 11
MALAFIS KONSTANTINE DDS (40.749338, -
73.789673)
828 2137 11
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
CHANG ZAN JANG DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
Page 1309 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 111
37 108
37 111
37 111
224
37 108
154
37 111
37 108
37 108
37 108
Page 1310 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MARIE
DENTIST YUNG CHENG PAUL
DENTIST HARMON
DENTIST FRED
DENTIST SHUBHA
DENTIST DAVID
DENTIST ALI
DENTIST EVELYN
DENTIST ANAMARIA
DENTIST LENA
DENTIST RICHARD
DENTIST ALPER
DENTIST HARESH
Page 1311 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONGIUSTA 1013305713 1164555124 08/17/2020
YU 1104214568 1164555124 05/02/2016
COOPER 1588636799 1164555124 08/24/2020
DUBROWSKY 1922110683 1164555124 01/20/2020
SONI-GAUR 1942522487 1609915883 06/18/2018
HERSHKOWITZ 1689722381 1164555124 02/18/2019
PAYAMI 1891954442 1063426377 04/13/2020
NELSON 1922334473 1164555124 11/25/2019
MUNOZ 1790980704 1164555124 01/20/2020
ALSABBAN 1386842615 1164555124 07/31/2017
GRUFFI 1093952236 1689669079 11/02/2015
COMUT 1932321783 1164555124 03/14/2016
SHAH 1437172996 1437172996 11/24/2014
Page 1312 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 11746 SUFFOLK
2017 2 10010 NEW YORK
2019 3 10038 NEW YORK
2018 3 10010 NEW YORK
2018 2 10010 NEW YORK
2016 1 10010 NEW YORK
2014 3 12550 ORANGE
2016 1 10010 NEW YORK
2014 1 10550 WESTCHESTER
Page 1313 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAH HARESH I (41.039278, -
73.805386)
1440 2185 53
Page 1314 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
137
37 108
37 108
37 108
37 108
37 108
76
37 108
224
Page 1315 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RODOLFO
DENTIST SEIICHI
DENTIST ANDREW
DENTIST ANDREW
DENTIST STEVEN
DENTIST MICHAEL
DENTIST MICHAEL
DENTIST ANDREW
DENTIST NESTOR
DENTIST RICHARD
DENTIST WILLIAM
DENTIST NEENA
DENTIST PATRICIA
Page 1316 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WERT 1720147200 1720147200 05/13/2019
YAMANO 1184044661 1164555124 03/14/2016
SCHENKEL 1689805483 1164555124 02/25/2019
SCHWARTZ 1780640474 1053482067 04/17/2017
GROMAN 1841403516 1548229958 09/09/2019
WOLOV 1003824863 1164555124 11/18/2019
WOLOV 1003824863 1164555124 02/25/2019
MANTEL 1184777377 1184777377 03/24/2014
RAMOS 1699751438 1972792612 03/11/2013
DOMOZYCH 1447392394 1447392394 03/12/2019
PEPPIATT 1659413987 1487630638 09/02/2013
BHATTY 1356417208 1467487637 08/28/2017
MILLER 1568559870 1033124961 11/11/2019
Page 1317 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 4 10033 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 11794 SUFFOLK
2014 1 10007 NEW YORK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2013 1 11414 QUEENS
2012 1 11372 QUEENS
2014 1 11730 SUFFOLK
2013 1 11967 SUFFOLK
2015 2 10562 WESTCHESTER
2018 2 10038 NEW YORK
Page 1318 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ANDREW J MANTEL D M D P C (40.749338, -
73.789673)
828 2137 11
PENA & RAMOS DENTAL PC (40.749338, -
73.789673)
828 2137 11
DOMOZYCH RICHARD DDS (40.820237, -
73.119032)
1421 2179 3
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
Page 1319 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
137
37 108
37 108
37 108
37 111
37 111
137
137
224
37 108
Page 1320 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KRISTINE
DENTIST LEONARD
DENTIST JOSEPH
DENTIST SAMUEL
DENTIST DANIEL
DENTIST MOHAMMED
DENTIST MOLIE
DENTIST AMIT
DENTIST DOMINICK
DENTIST NNENNA
DENTIST ANATOLIY
DENTIST JEMIMA
DENTIST ADAM
DENTIST RAID
Page 1321 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WATKINS 1043346182 1043663107 10/21/2019
CHIAT 1760486799 1164555124 11/25/2019
DEVINCENZO 1174636948 1467432765 07/23/2012
SCHUSTER 1982020962 1063480218 07/03/2017
FOGEL 1629278668 1629278668 08/04/2014
KHAIR 1831310234 1396711982 06/25/2012
XU 1639516693 1912225236 08/17/2015
PATEL 1700218120 1669470019 04/24/2017
CONGIUSTA 1427153543 1164555124 03/21/2016
EZECHUKWU 1558737692 1497700736 05/16/2016
BARAK 1679623755 1447398334 04/13/2015
LOUIS 1346680022 1679587679 10/09/2017
MERRIAM 1174834048 1154463016 02/14/2020
SADDA 1033100318 1164555124 11/18/2019
Page 1322 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2018 5 11722 SUFFOLK
2018 3 10010 NEW YORK
2011 1 13617 ST.LAWRENCE
2015 1 10950 ORANGE
2014 1 10977 ROCKLAND
2011 1 12307 SCHENECTADY
2015 2 14489 WAYNE
2016 1 08619 OUT OF STATE
2016 1 10010 NEW YORK
2016 1 11692 QUEENS
2014 1 11379 QUEENS
2016 1 10038 NEW YORK
2015 1 11323 QUEENS
2018 3 10010 NEW YORK
Page 1323 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LISH INC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
FOGEL DANIEL YEHOSHUA (41.127287, -
74.017033)
1546 628 27
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
RUSHVILLE HEALTH CENTER INC (43.144336, -
77.117995)
318 631 54
REFUAH HEALTH CENTER INC
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
MIDDLE VILLAGE DENTAL GROUP LLP (40.749338, -
73.789673)
828 2137 11
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1324 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
919
76
154
617
809
37 108
37 111
37 111
37 108
37 111
37 108
Page 1325 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DOMINIQUE
DENTIST MARTIN
DENTIST JASON
DENTIST HEIDI
DENTIST JEFFREY
DENTIST LOUIS
DENTIST AISEL
DENTIST ARNOLD
DENTIST DAVID
DENTIST DAVID
DENTIST NANCY
DENTIST NARA
DENTIST EDWARD
Page 1326 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JUSTE 1356313191 1356313191 12/10/2018
LAPIDUS 1639172638 1164555124 03/14/2016
STARACE 1508065038 1164555124 01/06/2020
HANSEN 1063655967 1952332801 06/16/2014
MARGOLIN 1376663674 1164555124 11/25/2019
SURACE 1295792414 1295792414 08/28/2017
FELIX 1801887146 1801887146 07/20/2017
LIEBMAN 1609960525 1164555124 08/24/2020
SIROIS 1528128170 1164555124 07/05/2021
MILLHOUSE 1225060452 1659688109 05/27/2013
YU 1801021944 1730124025 04/25/2016
KIM 1104075464 1891968012 05/11/2017
RUDOLPH 1457649824 1669470019 04/26/2021
Page 1327 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 3 10917 ORANGE
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2013 2 10032 NEW YORK
2018 3 10010 NEW YORK
2016 1 14094 NIAGARA
2013 1 11368 QUEENS
2019 4 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 14301 NIAGARA
2015 1 20878 OUT OF STATE
2013 1 10005 NEW YORK
2020 2 10977 ROCKLAND
Page 1328 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
JUSTE DOMINIQUE F DDS (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NY HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SURACE LOUIS ANTHONY DDS (43.134634, -
78.856419)
1107 2131 62
FELIX AISEL L DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ALLIANCE FAMILY DENTAL PC (43.134634, -
78.856419)
1107 2131 62
CHILDRENS AID SOC-LORD MEM CL
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
Page 1329 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
37 108
37 108
37 108
37 108
835
37 111
37 108
37 108
835
37 108
154
Page 1330 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ABRAHAM`
DENTIST RONALD
DENTIST HECTOR
DENTIST STEPHEN
DENTIST MZIA
DENTIST SHEIKH
DENTIST GREGORY
DENTIST LOURDES
DENTIST MANJIRI
DENTIST GENE
DENTIST BISSOONLALL
DENTIST MARGARET
DENTIST THOMAS
Page 1331 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FINKEL 1699766444 1497926141 10/21/2013
MAITLAND 1083710388 1164555124 03/14/2016
PENA 1801819685 1972792612 07/08/2013
KRUGER 1952359382 1053482067 03/20/2017
KRIKHELY 1891928040 1891928040 09/07/2015
RAHMAN 1346258597 1346258597 12/23/2013
OSELKIN 1952457848 1952457848 06/26/2017
ALBANDOZ 1538316385 1538316385 11/18/2019
PANDE 1104077643 1669470019 04/10/2017
SHERWIN 1740411222 1164555124 08/24/2020
BOODHOO 1942413067 1942413067 02/17/2014
GARLAND 1104989722 1093863565 10/14/2013
WIEDEMANN 1720442734 1164555124 07/31/2017
Page 1332 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 12180 RENSSELAER
2016 1 10010 NEW YORK
2012 1 11372 QUEENS
2016 1 11794 SUFFOLK
2015 1 11375 QUEENS
2013 1 11372 QUEENS
2013 1 10029 NEW YORK
2015 1 11368 QUEENS
2016 1 10977 ROCKLAND
2019 4 10010 NEW YORK
2013 1 11419 QUEENS
2013 1 11788 SUFFOLK
2016 1 10010 NEW YORK
Page 1333 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRU-DENTAL PC (42.70098, -
73.628669)
38 2138 33
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PENA & RAMOS DENTAL PC (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
KRIKHELY MZIA DDS (40.749338, -
73.789673)
828 2137 11
FAMOUS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
OSELKIN GREGORY DDS (40.726966, -
74.005966)
737 2095 50
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BOODHOO BISSOONLALL B DDS (40.749338, -
73.789673)
828 2137 11
FAMILY RESIDENCES & ESSTL ENT (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1334 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
40 473
37 108
37 111
137
37 111
37 111
37 108
37 111
154
37 108
37 111
137
37 108
Page 1335 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHANDRA
DENTIST NABILA
DENTIST MARIA
DENTIST IBELKA
DENTIST JOHN
DENTIST KATHY
DENTIST DAVID
DENTIST JEFFREY
DENTIST MARIE
DENTIST ROBERT
DENTIST PREETIKA
DENTIST MICHAEL
DENTIST JUNG-HUN
Page 1336 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
IYER 1497112395 1164555124 07/10/2017
MANNAN 1386858660 1578713723 05/05/2014
RODRIGUEZ-CARDENAS 1013151125 1164555124 02/25/2019
VARGAS 1548465594 1548465594 11/26/2012
RATHBAUER 1619990330 1164555124 02/25/2019
YEUNG 1467431759 1548208127 03/05/2018
GAVLIN 1194825018 1194825018 07/08/2013
MARGOLIN 1376663674 1164555124 02/25/2019
CONGIUSTA 1013305713 1164555124 11/18/2019
DANTI 1982748422 1164555124 08/31/2020
GUPTA 1073746822 1073746822 01/21/2013
DARLING 1952306094 1952306094 01/21/2013
KIM 1568518066 1568518066 08/05/2019
Page 1337 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11106 QUEENS
2017 2 10010 NEW YORK
2012 1 10033 NEW YORK
2017 2 10010 NEW YORK
2016 1 10038 NEW YORK
2012 1 11373 QUEENS
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 11798 SUFFOLK
2012 1 13208 ONONDAGA
2014 2 10001 NEW YORK
Page 1338 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAINBOW DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
VARGAS IBELKA C DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -
74.005966)
737 2095 50
GAVLIN DAVID (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GUPTA PREETIKA (40.820237, -
73.119032)
1421 2179 3
DARLING MICHAEL JAMES DDM (43.065629, -
76.168033)
713 2132 43
KIM JUNG-HUN DDS (40.726966, -
74.005966)
737 2095 50
Page 1339 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
37 108
37 108
37 111
37 108
37 108
37 108
137
755
37 108
Page 1340 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WALTER
DENTIST CAROLE
DENTIST SVETLANA
DENTIST TSIPORA
DENTIST MITCHELL
DENTIST STEVEN
DENTIST CHARLES
DENTIST STACIE
DENTIST DOUGLAS
DENTIST ANABELLA
DENTIST STEVEN
DENTIST BRUCE
DENTIST VIRINDER
Page 1341 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EDWARDS 1467594069 1467594069 03/17/2014
PIERRE 1306908025 1306908025 05/13/2019
FETMAN 1831360957 1831360957 06/09/2014
RUBINOV 1710978093 1710978093 01/30/2018
ADLER 1881724557 1881724557 05/19/2014
KAUFMAN 1750414686 1720160690 05/20/2016
RANDOLPH 1164589107 1700943750 08/04/2014
CALIAN 1033223334 1033223334 07/31/2017
VARGAS 1548244106 1548244106 04/29/2013
OQUENDO PARILLI 1972991420 1164555124 01/06/2020
ALVARADO 1104132638 1669470019 01/14/2013
BRANDOLIN 1669686176 1164555124 02/18/2019
MODGIL 1275621641 1275621641 01/12/2015
Page 1342 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10801 WESTCHESTER
2014 3 11427 QUEENS
2013 1 11373 QUEENS
2013 1 11373 QUEENS
2013 1 11367 QUEENS
2014 2 11722 SUFFOLK
2013 1 10543 WESTCHESTER
2016 1 10509 PUTNAM
2012 1 10031 NEW YORK
2018 2 10010 NEW YORK
2012 1 10977 ROCKLAND
2017 2 10010 NEW YORK
2014 1 13316 ONEIDA
Page 1343 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EDWARDS WALTER G DDS JR (41.039278, -
73.805386)
1440 2185 53
PIERRE CAROLE MARIE (40.749338, -
73.789673)
828 2137 11
FETMAN SVETLANA DDS (40.749338, -
73.789673)
828 2137 11
RUBINOV TSIPORA DDS (40.749338, -
73.789673)
828 2137 11
ADLER MITCHELL DDS (40.749338, -
73.789673)
828 2137 11
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
SILVERMAN-CALIAN STACIE (41.41131, -
73.717443)
1201 627 29
VARGAS DOUGLAS DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MODGIL VIRINDER DDS (43.149482, -
75.361773)
1281 625 40
Page 1344 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 111
37 111
37 111
37 111
137
224
272
37 108
37 108
154
37 108
794
Page 1345 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JOSEPH
DENTIST DUTRAN
DENTIST CHARLES
DENTIST ATUL
DENTIST PATRICK
DENTIST NATALYA
DENTIST ELLIOT
DENTIST EMANUEL
DENTIST BABAK
DENTIST HAIG
DENTIST FAISAL
DENTIST MARTIN
DENTIST DIKLA
DENTIST FAIZUL
Page 1346 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALERTE 1366568818 1700911682 09/15/2014
DO 1053490961 1063426377 08/17/2015
SOVETSKY 1639543671 1497796353 10/09/2017
GULATI 1356655328 1033408174 08/19/2013
BIVONA 1649649856 1164555124 01/06/2020
LURIE 1902129091 1104093814 04/24/2017
AUERBACH 1013318583 1164555124 03/07/2016
MIZRAHI 1902022122 1902022122 09/02/2013
HAMIDI 1275628356 1164555124 03/21/2016
RICKERBY 1407848708 1164555124 04/25/2016
UPPAL 1851480883 1265707491 11/02/2015
ARONOFF 1851799126 1164555124 02/18/2019
CHAZBANI 1992834360 1043224355 08/07/2017
KABIR 1346231719 1346231719 02/09/2017
Page 1347 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11429 QUEENS
2014 1 06820 OUT OF STATE
2016 1 13202 ONONDAGA
2013 1 10040 NEW YORK
2018 2 10010 NEW YORK
2016 1 10040 NEW YORK
2016 1 10010 NEW YORK
2013 1 11375 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2015 1 12754 SULLIVAN
2017 2 10010 NEW YORK
2015 1 10038 NEW YORK
2012 1 11377 QUEENS
Page 1348 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FIRST ALERT DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
ELMHURST HOSPITAL CENTER
SYRACUSE COMM HEALTH CTR INC (43.065629, -
76.168033)
713 2132 43
DYCKMAN DENTAL ARTS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
IK DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIZRAHI EMANUEL DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
KABIR MD FAIZUL DDS (40.749338, - 828 2137 11
Page 1349 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
755
37 108
37 108
37 108
37 108
37 111
37 108
37 108
283
37 108
37 108
37 111
Page 1350 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST DEBRA
DENTIST STEVEN
DENTIST MILAN
DENTIST LUIS
DENTIST PAULETTE
DENTIST SEAN
DENTIST MICHAEL
DENTIST NAMASSIVAYA
DENTIST ALEXANDER
DENTIST JEFFREY
DENTIST UMME
DENTIST RANI
Page 1351 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH 1467508549 1033124961 07/03/2017
FISCHOFF 1366847329 1164555124 12/23/2019
ENGEBRETSON 1265563589 1164555124 03/21/2016
GANDHI 1982768545 1982768545 10/21/2013
LECLERES 1134240286 1467486449 09/24/2012
PORTEOUS-COLE 1053494112 1285893719 07/05/2021
JESSAMY 1962551937 1538372735 04/06/2015
ABRAMS 1922363696 1275592693 01/22/2018
SUMITHRA 1245453000 1245453000 07/28/2014
BORUKHOV 1457429474 1457429474 01/18/2019
KRANTZ 1720180011 1720180011 12/15/2017
RASHID 1487857801 1487857801 04/21/2014
DASGUPTA 1790750800 1790750800 05/23/2016
Page 1352 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10038 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11419 QUEENS
2012 1 10035 NEW YORK
2020 5 10573 WESTCHESTER
2014 1 10805 WESTCHESTER
2016 1 11375 QUEENS
2013 1 12065 SARATOGA
2014 1 11375 QUEENS
2013 1 10009 NEW YORK
2013 1 11362 QUEENS
2015 1 10029 NEW YORK
Page 1353 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GANDHI MILAN AMBALAL DDS (40.749338, -
73.789673)
828 2137 11
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
SEAN D JESSAMY DDS P C (41.039278, -
73.805386)
1440 2185 53
DENTAL SPECIALTY ASSOC PC (40.749338, -
73.789673)
828 2137 11
SUMITHRA NAMASSIVAYA DDS (43.00894, -
73.786779)
1148 2141 42
BORUKHOV D ALEXANDER DDS (40.749338, -
73.789673)
828 2137 11
KRANTZ JEFFREY DDS (40.726966, -
74.005966)
737 2095 50
UMME MABIA RASHID DDS (40.749338, -
73.789673)
828 2137 11
DASGUPTA RANI DDS (40.726966, - 737 2095 50
Page 1354 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
37 108
224
224
37 111
733
37 111
37 108
37 111
37 108
Page 1355 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YEFIM
DENTIST DAVID
DENTIST SAMIH
DENTIST CARLA
DENTIST LASAUNDRA
DENTIST APRIL
DENTIST THOMAS
DENTIST MERCEDES
DENTIST MICHAEL
DENTIST RICHARD
DENTIST NEAL
DENTIST ILA
DENTIST ROBERT
Page 1356 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHAZIN 1508983438 1972770279 08/26/2013
ARGHAVANI 1083813109 1164555124 08/17/2020
ATTIA 1073719860 1073719860 11/17/2014
WEISFELD 1750547766 1750547766 03/25/2013
ESTELLE 1124020235 1124020235 05/15/2018
CHAMPEN 1902810765 1912225236 08/21/2017
WIEDEMANN 1720442734 1164555124 02/25/2019
PINA 1104803840 1104803840 02/08/2017
WOLOV 1003824863 1164555124 03/14/2016
HERMAN 1194728857 1689669079 11/02/2015
HERMAN 1972647642 1164555124 03/21/2016
HERCULES 1801991716 1306954631 08/14/2017
CAMMARATA 1720162225 1164555124 02/18/2019
Page 1357 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10029 NEW YORK
2019 4 10010 NEW YORK
2014 1 11385 QUEENS
2012 1 11372 QUEENS
2012 1 10017 NEW YORK
2015 3 13501 ONEIDA
2017 2 10010 NEW YORK
2014 2 10033 NEW YORK
2016 1 10010 NEW YORK
2014 3 12550 ORANGE
2016 1 10010 NEW YORK
2015 4 11101 QUEENS
2017 2 10010 NEW YORK
Page 1358 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
PEAR DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ATTIA SAMIH A DDS (40.749338, -
73.789673)
828 2137 11
CARLA ISABEL WEISFELD (40.749338, -
73.789673)
828 2137 11
ESTELLE LASAUNDRA CHRISHUN DDS (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PINA MERCEDES DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1359 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 111
37 108
794
37 108
37 108
37 108
76
37 108
37 111
37 108
Page 1360 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ANDERSON
DENTIST MARK
DENTIST ELONA
DENTIST JASON
DENTIST EUGENE
DENTIST ARNOLD
DENTIST LOUIS
DENTIST RAJINDER
DENTIST SERENA
DENTIST IRINA
DENTIST BENN
DENTIST ELONA
DENTIST MARK
Page 1361 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUANG 1306947825 1164555124 03/14/2016
ZHARNITSKY 1538295530 1538295530 11/30/2017
FATAKHOVA 1295867570 1295867570 01/05/2015
CREPS 1417186552 1316118334 10/29/2012
MILFORD 1295954352 1497700736 02/10/2014
POLLIKOFF 1053543629 1164555124 07/05/2021
DE SANTIS 1447321096 1164555124 02/18/2019
JAIN 1770668055 1164555124 03/21/2016
KASSAM 1699978924 1164555124 04/25/2016
PINSKY 1912055443 1912055443 02/09/2017
LIEBERMAN 1255489977 1679587679 03/08/2021
FATAKHOVA 1295867570 1295867570 11/04/2013
SCHLESINGER 1669479408 1164555124 08/24/2020
Page 1362 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2013 1 11373 QUEENS
2014 2 11375 QUEENS
2011 1 14304 NIAGARA
2013 1 11692 QUEENS
2020 5 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11418 QUEENS
2020 4 10038 NEW YORK
2013 1 11375 QUEENS
2019 4 10010 NEW YORK
Page 1363 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ZHARNITSKY MARK (40.749338, -
73.789673)
828 2137 11
FATAKHOVA ELONA (40.749338, -
73.789673)
828 2137 11
NIAGARA QUALITY CARE DENTISTRY PC (43.134634, -
78.856419)
1107 2131 62
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PINSKY IRINA DDS (40.749338, -
73.789673)
828 2137 11
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
FATAKHOVA ELONA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1364 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 111
835
37 111
37 108
37 108
37 108
37 108
37 111
37 108
37 111
37 108
Page 1365 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ILA
DENTIST RHONA
DENTIST ABBIE
DENTIST DEAN
DENTIST ARNOLD
DENTIST ALKA
DENTIST RICHARD
DENTIST SAYAMOL
DENTIST CHINAR
DENTIST KIMBERLY
DENTIST ELIZABETH
DENTIST OLEG
DENTIST ROBERT
Page 1366 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HERCULES 1801991716 1306954631 10/01/2012
SHERWIN 1912153461 1053482067 12/01/2014
LANE 1588848469 1508955592 01/11/2016
RAIO 1174531115 1174531115 09/23/2013
POLLIKOFF 1053543629 1164555124 08/17/2020
PATEL 1760544001 1467487637 02/26/2018
TRUSHKOWSKY 1962481994 1164555124 08/31/2020
VORARAGSA 1679776967 1164555124 04/25/2016
MAHADKAR 1225342181 1124334826 11/25/2013
FERGUSON 1598913337 1467487637 07/05/2021
YUABOV 1578739587 1578739587 01/27/2020
NEKTALOV 1780815894 1780815894 08/01/2017
TASCA 1033224209 1851328199 08/27/2012
Page 1367 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11101 QUEENS
2014 1 11794 SUFFOLK
2015 1 11435 QUEENS
2013 1 11763 SUFFOLK
2019 4 10010 NEW YORK
2016 3 10562 WESTCHESTER
2019 3 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 10027 NEW YORK
2020 5 10562 WESTCHESTER
2013 1 11367 QUEENS
2013 1 11374 QUEENS
2011 1 10025 NEW YORK
Page 1368 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
FLOATING HOSPITAL (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
RAIO DEAN DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
YUABOVA ELIZABETH DDS PC (40.749338, -
73.789673)
828 2137 11
NEKTALOV OLEG (40.749338, -
73.789673)
828 2137 11
WILLIAM F RYAN COMM HLTH CTR (40.726966, - 737 2095 50
Page 1369 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
137
37 111
137
37 108
224
37 108
37 108
37 108
224
37 111
37 111
37 108
Page 1370 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST LEONARD
DENTIST BENJAMIN
DENTIST KELI
DENTIST JAN
DENTIST DEVI
DENTIST HUZEFA
DENTIST GEORGE
DENTIST ANTHONY
DENTIST JOAN
DENTIST LASAUNDRA
DENTIST CHIRADIP
DENTIST ARTHUR
DENTIST ARMIN
Page 1371 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BERKOWITZ 1346239688 1164555124 02/18/2019
WONG 1679624639 1760436190 07/23/2012
HOLLIS 1487885505 1467432765 07/23/2012
GONZALEZ-TORRES 1356545537 1306898432 05/16/2016
KONAR 1447393384 1447393384 03/12/2018
TALIB 1982981601 1164555124 01/20/2020
CISNEROS 1528104825 1164555124 07/17/2017
DE MARCO 1881897056 1720160690 11/02/2015
GRCEVIC 1346221496 1235209065 09/01/2014
ESTELLE 1124020235 1124020235 09/24/2012
KAR 1013313915 1497700736 10/09/2017
KUBIKIAN 1235175407 1164555124 11/25/2019
LALEHZARI 1003020256 1003020256 03/01/2019
Page 1372 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2011 1 10001 NEW YORK
2011 1 13617 ST.LAWRENCE
2015 1 10011 NEW YORK
2013 1 10029 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 11722 SUFFOLK
2013 1 10956 ROCKLAND
2012 1 10017 NEW YORK
2016 1 11692 QUEENS
2018 3 10010 NEW YORK
2014 2 11372 QUEENS
Page 1373 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -
74.005966)
737 2095 50
KONAR DEVI DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
JAWONIO INC (41.127287, -
74.017033)
1546 628 27
ESTELLE LASAUNDRA CHRISHUN DDS (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LALEHZARI ARMIN DDS (40.749338, - 828 2137 11
Page 1374 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
919
37 108
37 108
37 108
37 108
137
154
37 108
37 111
37 108
37 111
Page 1375 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PATRICIA
DENTIST STEVEN
DENTIST EMILIE
DENTIST GEORGE
DENTIST MARY ELLEN
DENTIST KAMRAN
DENTIST GLENN
DENTIST KAY
DENTIST APRIL
DENTIST JOSHUA
DENTIST SADREDINE
DENTIST CAROLE
DENTIST GLENN
Page 1376 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SEAGRIFF-CURTIN 1114093630 1386714228 11/12/2018
FISHER 1073744652 1164555124 08/17/2020
FONG 1245358191 1164555124 11/18/2019
WILLIAMS 1710187091 1710187091 11/18/2013
LUKASWITZ 1659402097 1386714228 10/15/2012
FOROUGHI 1033178454 1275592693 09/09/2019
ROCHLEN 1194926287 1164555124 04/25/2016
OEN 1538390778 1164555124 08/24/2020
CHAMPEN 1902810765 1912225236 01/19/2015
CHUBAK 1114272192 1164555124 02/18/2019
SHADMAN 1871775312 1619969458 03/05/2018
PIERRE 1306908025 1306908025 12/15/2017
GOODBINDER 1871677666 1548229958 09/07/2015
Page 1377 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 6 10595 WESTCHESTER
2019 4 10010 NEW YORK
2018 2 10010 NEW YORK
2013 1 10031 NEW YORK
2012 1 10595 WESTCHESTER
2014 1 10007 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2014 2 13501 ONEIDA
2017 2 10010 NEW YORK
2015 2 10705 WESTCHESTER
2013 2 11427 QUEENS
2014 1 10007 NEW YORK
Page 1378 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAMS GEORGE A JR DMD (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
PIERRE CAROLE MARIE (40.749338, -
73.789673)
828 2137 11
METROPOLITAN DENTAL ASSOC DDS (40.726966, - 737 2095 50
Page 1379 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 108
37 108
37 108
224
37 108
37 108
37 108
794
37 108
224
37 111
37 108
Page 1380 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALAN
DENTIST DAVID
DENTIST JEE YUP
DENTIST JASON
DENTIST BARUCH
DENTIST SCOTT
DENTIST MARCI
DENTIST KOMALJIT
DENTIST ROBERT
DENTIST KAY
DENTIST ALBERT
DENTIST YELIZAVETA
DENTIST HAROLD
Page 1381 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BERMAN 1528185642 1487630638 09/02/2013
GAVLIN 1194825018 1194825018 05/01/2017
KIM 1831350222 1174830566 08/12/2013
STARACE 1508065038 1164555124 08/24/2020
LIFSHITZ 1487678546 1487678546 07/13/2015
SIMONETTI 1356480768 1356480768 03/12/2019
LEVINE 1255321931 1164555124 11/18/2019
BHASIN 1144312208 1700943750 08/04/2014
DANTI 1982748422 1164555124 07/05/2021
OEN 1538390778 1164555124 03/14/2016
SUN 1275765554 1063480218 11/23/2015
ABRAMS 1104956697 1104956697 07/25/2016
STRAUSS 1427265644 1164555124 03/14/2016
Page 1382 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11967 SUFFOLK
2012 1 11373 QUEENS
2013 1 11104 QUEENS
2019 4 10010 NEW YORK
2014 2 10901 ROCKLAND
2014 1 11717 SUFFOLK
2018 3 10010 NEW YORK
2013 1 10543 WESTCHESTER
2020 5 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 10950 ORANGE
2012 1 11373 QUEENS
2016 1 10010 NEW YORK
Page 1383 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
GAVLIN DAVID (40.749338, -
73.789673)
828 2137 11
JEEYUP DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LIFSHITZ BARUCH B DDS (41.127287, -
74.017033)
1546 628 27
SIMONETTI SCOTT ANTHONY DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
ABRAMS ELIZABETH DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1384 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 111
37 111
37 108
154
137
37 108
224
37 108
37 108
76
37 111
37 108
Page 1385 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST QUAZI
DENTIST BIJAN
DENTIST LARRY
DENTIST ANDRE
DENTIST MOHAMMAD
DENTIST MESER
DENTIST SAFDAR
DENTIST CARLOS
DENTIST LUZ
DENTIST BENJY
DENTIST CHHAYA
DENTIST WALEED
DENTIST TANZILA
Page 1386 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SATTER 1588653166 1568611721 10/20/2014
MOGHADAM 1528270139 1164555124 01/06/2020
WALDMAN 1568563815 1225388127 06/27/2016
MONTAZEM 1740242437 1063426377 09/09/2019
BHUYAN 1720069651 1720069651 10/07/2013
AHMED 1003019944 1003019944 01/06/2014
CHADDA 1760555106 1164555124 07/05/2021
DULUC 1851436513 1851436513 06/17/2013
FILION 1548259120 1548259120 03/06/2017
GOLDSTEIN 1760501522 1265657662 09/14/2015
SHAH 1043549074 1013937143 03/09/2015
SAIDI 1104800432 1104800432 09/24/2012
CHAUDHRY 1831582931 1831582931 05/14/2018
Page 1387 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 3 11373 QUEENS
2018 3 10010 NEW YORK
2016 1 12550 ORANGE
2018 3 10038 NEW YORK
2013 1 11432 QUEENS
2013 1 11372 QUEENS
2020 5 10010 NEW YORK
2012 1 10977 ROCKLAND
2013 2 11372 QUEENS
2014 1 12550 ORANGE
2014 1 12747 SULLIVAN
2012 1 11102 QUEENS
2016 1 10029 NEW YORK
Page 1388 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
TODAYS DENTAL NY PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COUNTY DENTAL AT NEWBURGH PLLC (41.422459, -
74.241929)
1496 2134 32
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
BHUYAN MOHAMMAD W DDS (40.749338, -
73.789673)
828 2137 11
M N DENTAL CARE P C (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DULUC CARLOS JOSE DDS (41.127287, -
74.017033)
1546 628 27
FILION LUZ A DDS (40.749338, -
73.789673)
828 2137 11
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
PRASAD CHILDS DENTAL HLTH PGR (41.705166, -
74.711705)
1024 2180 32
SAIDI WALEED M DDS (40.749338, -
73.789673)
828 2137 11
CHAUDHRY TANZILA (40.726966, - 737 2095 50
Page 1389 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
76
37 108
37 111
37 111
37 108
154
37 111
76
283
37 111
37 108
Page 1390 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DOMINIQUE
DENTIST JUAN
DENTIST ERIC
DENTIST GAIL
DENTIST MARIA
DENTIST JOSEPH
DENTIST DEAN
DENTIST HERBERT
DENTIST WAYNE
DENTIST LOUIS
DENTIST SANDEEP
DENTIST JASON
DENTIST DANDLINE
Page 1391 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JUSTE 1356313191 1356313191 01/18/2016
PESANTES 1225208101 1225208101 01/27/2014
RACHA 1710059860 1710059860 05/16/2016
SCHUPAK 1194728196 1164555124 11/25/2019
STAMPELOS 1366581522 1609915883 06/22/2015
KUMAR 1508874884 1619969458 07/02/2012
BARTLETT 1366651309 1366651309 04/13/2015
FENTON 1023148145 1265657662 10/11/2019
KELLY 1306834304 1306834304 10/01/2012
TRAN 1295863116 1437478674 12/16/2013
BHAGAT 1043433121 1043433121 05/27/2013
STARACE 1508065038 1164555124 03/21/2016
ALEXANDRE 1295172401 1114137403 03/26/2018
Page 1392 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 10917 ORANGE
2013 1 11418 QUEENS
2015 1 13501 ONEIDA
2018 2 10010 NEW YORK
2014 1 11776 SUFFOLK
2011 1 10566 WESTCHESTER
2014 2 12804 WARREN
2014 1 10549 WESTCHESTER
2012 1 11692 QUEENS
2013 1 11415 QUEENS
2012 1 11368 QUEENS
2016 1 10010 NEW YORK
2016 2 10302 RICHMOND
Page 1393 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
JUSTE DOMINIQUE F DDS (41.422459, -
74.241929)
1496 2134 32
PESANTES DENTAL PC (40.749338, -
73.789673)
828 2137 11
RACHA ERIC BRUCE DDS (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
BARTLETT DEAN M DDS (43.403024, -
73.716044)
128 2183 35
BENJY GOLDSTEIN GEORGE FREUD (41.039278, -
73.805386)
1440 2185 53
KELLY WAYNE G DDS PC (40.749338, -
73.789673)
828 2137 11
DESIGNER BRACES (40.749338, -
73.789673)
828 2137 11
BHAGAT SANDEEP (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
COMMUNITY HLTH CTR OF RICHMOND, (40.566763, - 609 2139 47
Page 1394 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
37 111
794
37 108
137
224
522
224
37 111
37 111
37 111
37 108
37 7
Page 1395 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JUNG-MIN
DENTIST LUCRETIA
DENTIST SUHAIL
DENTIST HAROLD
DENTIST MATTHEW
DENTIST BABAK
DENTIST DENISE
DENTIST JOHN
DENTIST ALI
DENTIST PAUL
DENTIST KAYA
DENTIST MANOHAR
DENTIST MICHAEL
Page 1396 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM 1174679740 1174679740 02/28/2020
DEPAOLA-CEFOLA 1225133010 1164555124 08/24/2020
SHADOUD 1164616439 1164616439 08/05/2013
STRAUSS 1427265644 1164555124 07/05/2021
GOLDSMITH 1053455089 1720160690 11/20/2019
BEHMANESH 1780825430 1780825430 01/06/2014
ESTAFAN 1346648821 1164555124 12/23/2019
CALAMIA 1194963512 1164555124 08/24/2020
PAYAMI 1891954442 1063426377 01/18/2021
ROSENBERG 1457422503 1164555124 02/25/2019
SARZYNSKA 1295896074 1639247653 06/15/2015
SHRESTHA 1376619536 1376619536 12/09/2013
BOLDEN 1619022548 1033124961 08/07/2017
Page 1397 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 10001 NEW YORK
2019 4 10010 NEW YORK
2013 1 10033 NEW YORK
2020 5 10010 NEW YORK
2014 1 11722 SUFFOLK
2013 1 11385 QUEENS
2018 3 10010 NEW YORK
2019 3 10010 NEW YORK
2020 4 10038 NEW YORK
2017 2 10010 NEW YORK
2014 1 11435 QUEENS
2013 1 11372 QUEENS
2015 1 10038 NEW YORK
Page 1398 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 74.148102)
KIM JUNG-MIN DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHADOUD SUHAIL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
BEHMANESH BABAK DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PHOENIX HOUSE FOUNDATION INC (40.749338, -
73.789673)
828 2137 11
SHRESTHA MANOHAR K DDS (40.749338, -
73.789673)
828 2137 11
HARLEM HOSPITAL CENTER (40.726966, - 737 2095 50
Page 1399 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
137
37 111
37 108
37 108
37 108
37 108
37 111
37 111
37 108
Page 1400 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SALVADOR
DENTIST MARC
DENTIST LEONARD
DENTIST VATTAN
DENTIST RODOLFO
DENTIST SONAL
DENTIST ROBERT
DENTIST MAGALY
DENTIST JOSEFA
DENTIST IRINA
DENTIST XIN FELICIA
DENTIST STEVEN
DENTIST KAYVAN
Page 1401 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GALES 1720062383 1720062383 01/28/2013
HENSCHEL 1861614562 1164555124 01/06/2020
BERKOWITZ 1346239688 1164555124 11/25/2019
SHARMA 1275874489 1669568465 06/29/2015
WERT 1720147200 1720147200 02/17/2014
SHAH 1265620181 1164555124 02/25/2019
GUREASKO 1134337389 1164555124 03/14/2016
TIGRERO 1467517979 1467517979 01/28/2013
RIVAS 1245386713 1245386713 12/17/2012
ILYAYEVA 1396852505 1396852505 11/02/2018
ZHANG 1689994899 1801003736 05/16/2016
FISHER 1073744652 1164555124 02/18/2019
FATHIMANI 1396040127 1124334826 05/05/2014
Page 1402 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11420 QUEENS
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 14456 ONTARIO
2013 3 10033 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10034 NEW YORK
2012 1 11377 QUEENS
2014 1 11416 QUEENS
2015 1 10509 PUTNAM
2017 2 10010 NEW YORK
2013 1 10027 NEW YORK
Page 1403 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
GALES SALVADOR EBREO DMD (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FINGER LAKES MIGRANT HLTH (42.894571, -
77.252045)
178 2133 54
WERT RODOLFO P DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HUGHES-TIGRERO MAGALY (40.726966, -
74.005966)
737 2095 50
RIVAS JOSEFA DDS (40.749338, -
73.789673)
828 2137 11
ILYAYEVA IRINA DDS (40.749338, -
73.789673)
828 2137 11
UCPA OF PUTNAM & SO DUTCHESS (41.41131, -
73.717443)
1201 627 29
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, - 737 2095 50
Page 1404 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
691
37 108
37 108
37 108
37 108
37 111
37 111
272
37 108
37 108
Page 1405 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STACEY
DENTIST GREGORY
DENTIST SANG-CHOON
DENTIST ROBER
DENTIST RONALD
DENTIST LUCY
DENTIST LEWIS
DENTIST ASGEIR
DENTIST KWAKU
DENTIST LISNEIDA
DENTIST MICHAEL
DENTIST WILLIAM
DENTIST HOPE
Page 1406 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUBETSKY 1285785626 1972681484 10/29/2012
LEWIS 1811388374 1700943750 04/16/2018
CHO 1497064240 1164555124 03/14/2016
EYCKMANS 1447261128 1447261128 04/21/2014
GARRETT 1215028147 1679587679 06/06/2016
TRONCOSO 1144548280 1164555124 11/18/2019
LAMPERT 1841680329 1164555124 02/18/2019
SIGURDSSON 1255746301 1164555124 02/25/2019
ANAKWA 1497862197 1851328199 10/07/2013
ARJONA 1134449259 1669470019 03/25/2013
KATZ 1265675565 1164555124 03/14/2016
BONGIORNO 1679888564 1164555124 03/21/2016
ARNOLDT 1225122641 1720160690 11/02/2015
Page 1407 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10952 ROCKLAND
2016 1 13820 OTSEGO
2016 1 10010 NEW YORK
2013 2 10029 NEW YORK
2015 1 11434 QUEENS
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2013 2 10025 NEW YORK
2012 1 10977 ROCKLAND
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 11722 SUFFOLK
Page 1408 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
COMMUNITY MED & DENTAL CARE I (41.127287, -
74.017033)
1546 628 27
AMERICAN MOBILE DENTAL PC (42.564852, -
75.060334)
432 2136 44
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, - 1421 2179 3
Page 1409 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
529
37 108
37 108
37 111
37 108
37 108
37 108
37 108
154
37 108
37 108
137
Page 1410 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RIMA
DENTIST FARZIN
DENTIST MYRON
DENTIST JUAN
DENTIST GABRIEL
DENTIST LAURIE
DENTIST ASHOK
DENTIST SANDRA
DENTIST FRED
DENTIST HOWARD
DENTIST DOINA
DENTIST ELINA
DENTIST MINDA
Page 1411 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SEHL 1649401290 1164555124 07/31/2017
FAROKHZADEH 1679789937 1679789937 02/09/2015
KLEIN 1265443675 1164555124 07/05/2021
ESPAILLAT 1194715425 1194715425 08/24/2017
FULOP 1871587196 1164555124 03/07/2016
FLEISHER 1053409904 1164555124 02/18/2019
SONI 1124011895 1164555124 08/17/2020
SZUSTER 1508977935 1508977935 12/21/2015
FERGUSON 1194856872 1053482067 04/06/2015
FINE 1417018177 1639247653 07/07/2014
AGBARY 1295826246 1295826246 08/05/2013
KATS 1194988519 1194988519 03/31/2014
CARPO 1184744179 1497700736 04/25/2016
Page 1412 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2014 1 10703 WESTCHESTER
2020 5 10010 NEW YORK
2013 1 10027 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 11355 QUEENS
2014 1 11794 SUFFOLK
2013 1 10588 WESTCHESTER
2013 1 11423 QUEENS
2013 1 11372 QUEENS
2016 1 11692 QUEENS
Page 1413 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FAROKHZADEH FARZIN DDS (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ESPAILLAT JUAN DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SZUSTER SANDRA MARCELA DDS (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
PHOENIX HOUSE FOUNDATION INC (41.039278, -
73.805386)
1440 2185 53
AGBARY DOINA GABRIELA DDS (40.749338, -
73.789673)
828 2137 11
KATS ELINA DDS (40.749338, -
73.789673)
828 2137 11
JOSEPH P ADDABBO FAMILY HLTH (40.749338, - 828 2137 11
Page 1414 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 108
37 108
37 108
37 108
37 111
137
224
37 111
37 111
37 111
Page 1415 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JACOB
DENTIST JESSICA
DENTIST JAGDISH
DENTIST HERBERT
DENTIST RODRELL
DENTIST GILA
DENTIST RISHI
DENTIST THOMAS
DENTIST KRZYSZTOF
DENTIST KIMBERLY
DENTIST AMY
DENTIST GARY
DENTIST BELLA
Page 1416 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ORBACH 1295806883 1295806883 05/20/2016
BARCESSAT 1881873875 1124334826 11/25/2013
KOTHARI 1093703936 1497866933 06/09/2014
LI 1215069554 1891968012 03/07/2016
BROWN 1962678276 1265707491 05/16/2016
MARCIANO 1376639773 1669470019 12/16/2019
KOTHARI 1528345188 1528345188 11/02/2015
WIEDEMANN 1720442734 1164555124 08/24/2020
KOCH 1245229616 1063480218 04/20/2015
FERGUSON 1598913337 1467487637 08/19/2019
ZUKER 1780664383 1053482067 09/25/2017
BERSON 1184703191 1275624694 12/29/2014
PINKATZ 1316955313 1316955313 09/24/2012
Page 1417 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 11365 QUEENS
2013 2 10027 NEW YORK
2013 1 13502 ONEIDA
2015 1 10038 NEW YORK
2015 1 12701 SULLIVAN
2018 2 10977 ROCKLAND
2015 1 10591 WESTCHESTER
2019 4 10010 NEW YORK
2014 2 10950 ORANGE
2018 4 10562 WESTCHESTER
2016 1 11794 SUFFOLK
2014 1 12701 SULLIVAN
2012 1 11415 QUEENS
Page 1418 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
ORBACH JACOB EPHRAIM DDS (40.749338, -
73.789673)
828 2137 11
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
AMANDEEP ARORA DDS PC (43.149482, -
75.361773)
1281 625 40
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
GREAT EXPRESSIONS DENTAL OF (41.705166, -
74.711705)
1024 2180 32
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
KOTHARI RISHI A (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
SDTC THE CENTER FOR DISCOVERY (41.705166, -
74.711705)
1024 2180 32
PINKATZ BELLA DDS (40.749338, - 828 2137 11
Page 1419 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
794
37 108
283
154
224
37 108
76
224
137
283
37 111
Page 1420 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST EVAN
DENTIST ZAHRA
DENTIST LYUBOV
DENTIST SHARON
DENTIST IYMAN
DENTIST ALAN
DENTIST AISEL
DENTIST MAYNARD
DENTIST ANAMARIA
DENTIST ROBERT
DENTIST PADMA
DENTIST MICHAEL
DENTIST JUDITH
Page 1421 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BARBAKOFF 1609051606 1720160690 09/23/2013
BAGHERI 1851710719 1164555124 02/18/2019
KRUT 1356331029 1649318601 04/08/2019
PERELMAN 1134209786 1164555124 02/25/2019
ELASHMAWY 1417191180 1154463016 12/09/2013
WINIK 1659584084 1386714228 12/16/2013
FELIX 1801887146 1801887146 09/02/2013
GOLDBERG 1154489367 1164555124 04/25/2016
MUNOZ 1790980704 1164555124 03/14/2016
CARTER 1902910367 1902910367 04/29/2013
JOSHI 1548300312 1669470019 10/29/2012
GOLDMAN 1790771608 1790771608 06/26/2017
MORI 1083691638 1689669079 06/27/2016
Page 1422 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11722 SUFFOLK
2017 2 10010 NEW YORK
2014 1 10305 RICHMOND
2017 2 10010 NEW YORK
2013 1 11373 QUEENS
2013 2 10595 WESTCHESTER
2013 1 11368 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10306 RICHMOND
2012 1 10977 ROCKLAND
2016 1 11385 QUEENS
2015 1 12518 ORANGE
Page 1423 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SAND LANE DENTAL PC (40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ELITE DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
FELIX AISEL L DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CARTER ROBERT WILLIAM (40.566763, -
74.148102)
609 2139 47
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
GOLDMAN MICHAEL LOUIS DDS (40.749338, -
73.789673)
828 2137 11
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, - 1496 2134 32
Page 1424 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 7
37 108
37 111
224
37 111
37 108
37 108
37 7
154
37 111
76
Page 1425 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROZALIYA
DENTIST SUSAN
DENTIST IRMA
DENTIST DOUGLAS
DENTIST JASON
DENTIST RUBEN
DENTIST MARC
DENTIST ALBA
DENTIST PATRICIA
DENTIST COURTNEY
DENTIST MICHELE
DENTIST LENA
DENTIST SHELDON
Page 1426 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FATAKHOVA 1629227582 1629227582 05/01/2017
FRIEDMAN 1720255177 1164555124 02/18/2019
BELLO 1700952421 1548418650 09/22/2014
STERNBERG 1760530919 1598707812 09/25/2017
STARACE 1508065038 1164555124 02/25/2019
DIAZ 1366432304 1366432304 12/08/2014
MICHALOWICZ 1841297058 1669470019 10/22/2012
MARIA-DIAZ 1629067988 1629067988 08/18/2014
SEAGRIFF-CURTIN 1114093630 1386714228 09/24/2012
FONG 1518152230 1518152230 03/18/2013
TSANG 1598936684 1598936684 03/18/2013
ALSABBAN 1386842615 1164555124 02/18/2019
WINIK 1417179151 1386714228 08/05/2019
Page 1427 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11375 QUEENS
2017 2 10010 NEW YORK
2014 1 10980 ROCKLAND
2015 2 14569 WYOMING
2017 2 10010 NEW YORK
2014 2 11368 QUEENS
2012 1 10977 ROCKLAND
2014 1 10032 NEW YORK
2012 1 10595 WESTCHESTER
2012 1 11372 QUEENS
2012 1 11354 QUEENS
2017 2 10010 NEW YORK
2018 5 10595 WESTCHESTER
Page 1428 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.241929)
FATAKHOVA ROZALIYA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FAMILY DENTAL OFFICE PC (41.127287, -
74.017033)
1546 628 27
OAK ORCHARD COMM HLTH CTR INC (42.723641, -
78.204473)
415 2186 59
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DIAZ RUBEN DARIO DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
MARIA-DIAZ ALBA ROSA DDS (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
FONG COURTNEY A DDS (40.749338, -
73.789673)
828 2137 11
TSANG MICHELE DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, - 1440 2185 53
Page 1429 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
154
622
37 108
37 111
154
37 108
224
37 111
37 111
37 108
224
Page 1430 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST ANNETTE
DENTIST DINA
DENTIST PHILLIP
DENTIST SALAMON
DENTIST PETER
DENTIST JUNIOR BERTHO
DENTIST ERIKA
DENTIST HUZEFA
DENTIST MICHAEL
DENTIST ARNOLD
DENTIST JOHN
DENTIST WILLIAM
Page 1431 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANFORD 1073635942 1164555124 04/25/2016
MAGGI 1861682619 1912225236 03/26/2018
AJMERA 1225107493 1225107493 11/23/2015
JAFFE 1518147784 1518147784 11/26/2012
RAFAILOV 1093987018 1093987018 03/16/2020
GRAY 1528105004 1528105004 09/04/2017
VERTIL 1578710752 1578710752 02/07/2019
BRODKIN 1417019845 1467487637 03/09/2020
TALIB 1982981601 1164555124 02/25/2019
RODRIGUEZ 1639463045 1669470019 11/16/2015
POLLIKOFF 1053543629 1164555124 03/14/2016
SUNG 1801930698 1164555124 07/17/2017
SANDAK 1891761482 1396711982 05/19/2014
Page 1432 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2016 1 10010 NEW YORK
2016 4 14544 YATES
2015 1 11377 QUEENS
2012 1 10021 NEW YORK
2014 1 11366 QUEENS
2016 1 13069 OSWEGO
2014 1 10977 ROCKLAND
2019 5 10562 WESTCHESTER
2017 2 10010 NEW YORK
2014 1 10977 ROCKLAND
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2013 2 12307 SCHENECTADY
Page 1433 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.805386)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (42.634338, -
77.078311)
2225 58
AJMERA DINA M DDS (40.749338, -
73.789673)
828 2137 11
JAFFE PHILLIP DDS (40.726966, -
74.005966)
737 2095 50
SALAMON RAFAILOV DDS (40.749338, -
73.789673)
828 2137 11
GRAY PETER D DDS (43.39123, -
76.31133)
623 2135 41
VERTIL BERTHO J (41.127287, -
74.017033)
1546 628 27
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, - 74 2142 42
Page 1434 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
581
37 111
37 108
37 111
533
154
224
37 108
154
37 108
37 108
617
Page 1435 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MAUREEN
DENTIST DARSHAN
DENTIST MARK
DENTIST MEA
DENTIST ERIC
DENTIST MIJIN
DENTIST YVES
DENTIST HOWARD
DENTIST SUNOOK
DENTIST STEPHEN
DENTIST FARAH
DENTIST ZAN
DENTIST KRUPALI
Page 1436 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHOO 1275723389 1891968012 05/05/2014
PANCHAL 1962412130 1962412130 11/04/2013
SCHUFMAN 1780855684 1598770018 07/15/2013
WEINBERG 1568594976 1164555124 03/14/2016
WACHS 1114060753 1669470019 11/16/2015
CHOI 1962661728 1164555124 11/25/2019
CONTE 1073615894 1073615894 10/29/2012
WEINER 1467458547 1164555124 01/20/2020
HWANG 1205056025 1477863678 11/06/2017
GELFMAN 1760590467 1679587679 03/08/2021
PATEL 1770639056 1073503215 10/21/2013
CHANG 1508029034 1508029034 11/11/2019
THACKER 1093973356 1265707491 11/02/2015
Page 1437 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10038 NEW YORK
2013 1 11757 SUFFOLK
2012 1 10014 NEW YORK
2016 1 10010 NEW YORK
2014 1 10977 ROCKLAND
2018 3 10010 NEW YORK
2011 1 11432 QUEENS
2018 2 10010 NEW YORK
2016 1 14469 ONTARIO
2020 3 10038 NEW YORK
2013 1 10312 RICHMOND
2018 3 11365 QUEENS
2015 1 11784 SUFFOLK
Page 1438 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.946838)
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
PANCHAL DARSHAN JAYEBDRA DDS (40.820237, -
73.119032)
1421 2179 3
PROJECT RENEWAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CONTE YVES DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
BLOOMFIELD ORAL HEALTH PC (42.894571, -
77.252045)
178 2133 54
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
A MASKELL DDS AND S MASKELL DDS PC (40.566763, -
74.148102)
609 2139 47
CHANG ZAN JANG DDS (40.749338, -
73.789673)
828 2137 11
GREAT EXPRESSIONS DENTAL OF (40.820237, - 1421 2179 3
Page 1439 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
37 108
37 108
154
37 108
37 111
37 108
691
37 108
37 7
37 111
137
Page 1440 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST WAYNE
DENTIST ACKEILIA
DENTIST MICHELLE
DENTIST CLAUDIA
DENTIST CLIFFORD
DENTIST EHAB
DENTIST NORMAN
DENTIST JOHN
DENTIST MARTINE
DENTIST ANTHONY
DENTIST JOHN
DENTIST MOHAMMED
DENTIST NADEEM
Page 1441 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KYE 1154430965 1164555124 02/18/2019
BLOOMFIELD-HEATRICE 1609003060 1689669079 11/02/2015
HAGHPANAH 1154555894 1699076083 10/06/2017
LOZANO 1629306931 1467487637 08/19/2019
HAMES 1437173143 1619969458 07/02/2012
SHAHID 1265553838 1164555124 03/21/2016
GOLD 1578616728 1275592693 12/07/2015
RATHBAUER 1619990330 1164555124 03/21/2016
MANDRACCHIA 1326372962 1164555124 02/25/2019
FALCIANO 1003804782 1801803903 05/09/2016
RATHBAUER 1619990330 1164555124 12/02/2019
SHAHABUDDIN 1245229210 1982880159 11/22/2016
NASEEM 1790735967 1609048644 10/07/2013
Page 1442 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2014 1 12550 ORANGE
2013 1 10128 NEW YORK
2018 4 10562 WESTCHESTER
2011 1 10566 WESTCHESTER
2016 1 10010 NEW YORK
2014 1 10007 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2015 1 10038 NEW YORK
2018 3 10010 NEW YORK
2013 2 11106 QUEENS
2013 1 10027 NEW YORK
Page 1443 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MOHAMMED SHAHABUDDIN DENTAL PC (40.749338, -
73.789673)
828 2137 11
MANHATTAN AVEUNE FAMILY DENTAL (40.726966, - 737 2095 50
Page 1444 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
76
37 108
224
224
37 108
37 108
37 108
37 108
37 108
37 108
37 111
37 108
Page 1445 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DARIO
DENTIST STEVEN
DENTIST MATTHEW
DENTIST BRIAN
DENTIST SAGAR
DENTIST ALBERT
DENTIST ASHOK
DENTIST SAFDAR
DENTIST SOO JIN
DENTIST KENNETH
DENTIST DUANE
DENTIST JITENDRA
DENTIST AMR
Page 1446 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YAPOR 1235210972 1235210972 08/16/2016
IZZO 1750379699 1750379699 02/12/2016
MALEK 1447531231 1164555124 08/24/2020
STEARN 1609978311 1609978311 12/16/2013
BARAL 1144239930 1144239930 10/26/2017
FABER 1457447674 1457447674 01/21/2013
SONI 1124011895 1164555124 03/14/2016
CHADDA 1760555106 1164555124 03/07/2016
CHANG 1396079794 1396079794 07/08/2016
SWANSTON 1609920479 1609920479 02/07/2019
CULOTTA 1356511943 1164555124 03/07/2016
PATEL 1902098445 1497866933 12/17/2012
MOURSI 1225188246 1164555124 02/25/2019
Page 1447 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 10032 NEW YORK
2012 2 11385 QUEENS
2019 4 10010 NEW YORK
2013 1 11415 QUEENS
2013 1 11432 QUEENS
2012 1 10019 NEW YORK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 11372 QUEENS
2014 1 10607 WESTCHESTER
2016 1 10010 NEW YORK
2012 1 13502 ONEIDA
2017 2 10010 NEW YORK
Page 1448 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PLLC 74.005966)
YAPOR DARIO YAMIT DDS (40.726966, -
74.005966)
737 2095 50
IZZO STEVEN R DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
STEARN BRIAN NEIL DDS (40.749338, -
73.789673)
828 2137 11
BARAL SAGAR KUMAR (40.749338, -
73.789673)
828 2137 11
FABER ALBERT E DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CHANG SOO JIN (40.749338, -
73.789673)
828 2137 11
SWANSTON KENNETH JEREMY DDS (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMANDEEP ARORA DDS PC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1449 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 111
37 111
37 108
37 108
37 108
37 111
224
37 108
794
37 108
Page 1450 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BARBARA
DENTIST ROGER
DENTIST MARIA THERESA
DENTIST BARBARA
DENTIST BHARAT
DENTIST SUSANNA
DENTIST FAEQ
DENTIST YURIY
DENTIST BARRY
DENTIST HANETTE
DENTIST GEORGE
DENTIST ESTHER
DENTIST NORMAN
Page 1451 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TAMULEWICZ 1336206929 1013924372 07/31/2017
WARREN 1396732293 1164555124 08/24/2020
BENEDICTO YU 1972509206 1497700736 08/26/2013
SLASKA 1306053533 1164555124 12/23/2019
JOSHI 1629072186 1164555124 01/06/2020
ISAACS 1700095924 1447398334 04/13/2015
AFRIDI 1205147642 1205147642 05/19/2014
FATAKHOV 1023140407 1023140407 01/06/2014
JACOBSON 1538279625 1245334564 06/02/2014
GOMEZ 1104907393 1104907393 07/25/2016
ZULCH 1669512497 1669470019 10/22/2012
KUYINU 1518006774 1164555124 03/14/2016
GOLD 1578616728 1275592693 09/09/2019
Page 1452 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10038 NEW YORK
2019 4 10010 NEW YORK
2012 1 11692 QUEENS
2018 3 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 11379 QUEENS
2013 1 11004 QUEENS
2013 1 11375 QUEENS
2013 1 11367 QUEENS
2012 1 11368 QUEENS
2012 1 10977 ROCKLAND
2016 1 10010 NEW YORK
2014 1 10007 NEW YORK
Page 1453 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIDDLE VILLAGE DENTAL GROUP LLP (40.749338, -
73.789673)
828 2137 11
AFRIDI FAEQ KHAN (40.749338, -
73.789673)
828 2137 11
Y & E ELITE DENTAL CARE PLLC (40.749338, -
73.789673)
828 2137 11
LDFCB DENTISTRY LLC (40.749338, -
73.789673)
828 2137 11
GOMEZ HANETTE SABINA DDS (40.749338, -
73.789673)
828 2137 11
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DENTAL SPECIALTY ASSOC PC (40.726966, - 737 2095 50
Page 1454 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
37 111
37 111
37 111
37 111
37 111
154
37 108
37 108
Page 1455 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HUZEFA
DENTIST SAUL
DENTIST IVELISSE
DENTIST IRYNA
DENTIST SEJAL
DENTIST VLADIMIR
DENTIST IVETTE
DENTIST JOHN
DENTIST JOAN
DENTIST CHARLES
DENTIST MARK
DENTIST HOWARD
DENTIST NOTCHER
Page 1456 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TALIB 1982981601 1164555124 08/31/2020
BAHN 1164412326 1164555124 03/21/2016
RIMA 1679627632 1679627632 08/19/2013
BRANETS 1043335185 1164555124 07/05/2021
SHAH 1093844813 1093844813 12/29/2014
ISAKOV 1285890350 1902110562 05/14/2018
FERREIRA 1184636342 1184636342 03/11/2013
DOLAN 1861879827 1164555124 03/14/2016
PHELAN 1902029168 1164555124 04/25/2016
NEIDORFF 1689826455 1164555124 01/06/2020
FRANKE 1518935873 1467432765 04/15/2013
SILVERMAN 1528166030 1164555124 11/25/2019
AMARTEIFIO 1023197829 1356406136 09/14/2020
Page 1457 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2013 1 11372 QUEENS
2020 4 10010 NEW YORK
2014 1 11432 QUEENS
2016 1 11367 QUEENS
2012 1 11372 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2012 2 13617 ST.LAWRENCE
2018 3 10010 NEW YORK
2019 2 10038 NEW YORK
Page 1458 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RIMA IVELISSE MEJIA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAH SEJAL UDAY DDS (40.749338, -
73.789673)
828 2137 11
KISSENA PLAZA DENTAL PC (40.749338, -
73.789673)
828 2137 11
FERREIRA IVETTE DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CUMBERLAND D & T CTR (40.726966, - 737 2095 50
Page 1459 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 111
37 111
37 111
37 108
37 108
37 108
919
37 108
37 108
Page 1460 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAMES
DENTIST ALTAGRACIA
DENTIST ASGEIR
DENTIST GERALD
DENTIST DIGNA
DENTIST WALI
DENTIST MYRON
DENTIST BHARAT
DENTIST JUAN
DENTIST GREGORY
DENTIST ARTHUR
DENTIST EDWARD
DENTIST HARMON
Page 1461 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SUNWOO 1376796433 1376796433 09/23/2013
BUENO 1932431582 1497700736 09/25/2017
SIGURDSSON 1255746301 1164555124 08/24/2020
HOCH 1891990248 1164555124 03/14/2016
RODRIGUEZ 1114205697 1114178795 11/09/2015
KHAN 1952467334 1952467334 09/25/2017
KLEIN 1265443675 1164555124 04/25/2016
JOSHI 1629072186 1164555124 07/05/2021
PERALTA 1528135696 1528135696 03/25/2013
BROWNE 1942327614 1164555124 04/25/2016
GOREN 1518114438 1164555124 08/24/2020
SHALOMOV 1699921437 1649573197 04/20/2015
COOPER 1588636799 1164555124 02/18/2019
Page 1462 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11722 SUFFOLK
2016 1 11692 QUEENS
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2015 2 10032 NEW YORK
2016 1 11372 QUEENS
2016 1 10010 NEW YORK
2020 4 10010 NEW YORK
2012 1 11368 QUEENS
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2014 1 11432 QUEENS
2017 2 10010 NEW YORK
Page 1463 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SUNWOO JAMES SR (40.820237, -
73.119032)
1421 2179 3
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
KHAN WALI I (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PERALTA JUAN A DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TCN DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1464 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 111
37 108
37 108
37 108
37 111
37 108
37 108
37 111
37 108
37 108
37 111
37 108
Page 1465 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAVID
DENTIST JONATHAN
DENTIST EUGENE
DENTIST JUAN
DENTIST SINAN
DENTIST NIRMAL
DENTIST RICARDO
DENTIST JOHN
DENTIST EUGENE
DENTIST CHARLES
DENTIST WAI
DENTIST JOHN
DENTIST MOHAMMAD
Page 1466 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PARNAGIAN 1003903337 1811105968 09/30/2013
LAZAR 1689872400 1669470019 01/14/2013
BASS 1730108580 1164555124 02/18/2019
DE FEX 1821052317 1821052317 03/12/2018
ABDULLAH 1376519892 1396711982 06/25/2012
JAIN 1619940848 1619940848 03/16/2015
ALEXANDER 1902950421 1902950421 01/06/2014
CALAMIA 1194963512 1164555124 03/21/2016
BASS 1730108580 1164555124 03/07/2016
LARSEN 1538216429 1053482067 06/12/2017
CHAN 1104185784 1912225236 12/08/2014
COMO 1649304718 1164555124 02/18/2019
SADEGHI 1568517431 1033124961 08/10/2020
Page 1467 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11757 SUFFOLK
2012 1 10977 ROCKLAND
2017 2 10010 NEW YORK
2016 4 11372 QUEENS
2011 1 12307 SCHENECTADY
2014 1 12180 RENSSELAER
2013 1 11743 SUFFOLK
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2016 1 11784 SUFFOLK
2014 1 13501 ONEIDA
2017 2 10010 NEW YORK
2019 2 10038 NEW YORK
Page 1468 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
WISDOM TOOTH OF LINDENHURST (40.820237, -
73.119032)
1421 2179 3
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DE FEX JUAN CARLOS DDS (40.749338, -
73.789673)
828 2137 11
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
DENTAL SERVICES OF TROY PC (42.70098, -
73.628669)
38 2138 33
ALEXANDER RICARDO DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
RUSHVILLE HEALTH CENTER INC (43.149482, -
75.361773)
1281 625 40
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
HARLEM HOSPITAL CENTER (40.726966, - 737 2095 50
Page 1469 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
154
37 108
37 111
617
40 473
137
37 108
37 108
137
794
37 108
37 108
Page 1470 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MILAN
DENTIST MARTINE
DENTIST RAFAEL
DENTIST MARIA
DENTIST ATUL
DENTIST EVELYN
DENTIST RONALD
DENTIST DURGESH
DENTIST THOMAS
DENTIST MAURA
DENTIST GARY
DENTIST KHAIM
DENTIST KEZIA
Page 1471 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GANDHI 1982768545 1982768545 03/06/2017
MANDRACCHIA 1326372962 1164555124 08/24/2020
FARKAS 1184647133 1063480218 09/07/2015
LUCIA 1740358175 1740358175 03/19/2018
PARIKH 1457464018 1457464018 12/05/2016
NELSON 1922334473 1164555124 08/31/2020
KOSINSKI 1942334214 1164555124 03/14/2016
KUDCHADKAR 1154551372 1295729408 04/08/2013
TAGLIANI 1831221175 1891968012 05/05/2014
SULLIVAN-MALONEY 1376844282 1619969458 04/14/2014
HERSKOVITS 1942376389 1164555124 01/20/2020
KALANTAROV 1417173683 1417173683 09/24/2012
JACOB 1497136550 1932453172 03/16/2020
Page 1472 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11419 QUEENS
2019 4 10010 NEW YORK
2015 2 10950 ORANGE
2015 2 13088 ONONDAGA
2016 1 11691 QUEENS
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2012 1 10035 NEW YORK
2013 1 10038 NEW YORK
2013 1 10705 WESTCHESTER
2018 3 10010 NEW YORK
2012 1 11375 QUEENS
2016 1 24060 OUT OF STATE
Page 1473 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
GANDHI MILAN AMBALAL DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
LUCIA MARIA DDS PLLC (43.065629, -
76.168033)
713 2132 43
PARIKH ATUL R DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -
74.005966)
737 2095 50
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KALANTAROV KHAIM (40.749338, -
73.789673)
828 2137 11
P & R EXECUTIVE DENTAL MANAGEMENT
Page 1474 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
76
755
37 111
37 108
37 108
37 108
37 108
224
37 108
37 111
Page 1475 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALAN
DENTIST ROBERT
DENTIST JONATHAN
DENTIST GLENFORD
DENTIST KATHERINE
DENTIST MINTSAI
DENTIST ANITA
DENTIST ROMAN
DENTIST IRYNA
DENTIST LESLIE
DENTIST PAULETTE
DENTIST ISABEL
DENTIST SHEIKH
Page 1476 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CARNESS 1740337781 1013924372 05/09/2016
KAUFMAN 1437138906 1649259318 12/10/2012
MARCUS 1407913403 1407913403 04/23/2012
NAKPAWAN 1366596306 1124334826 10/01/2012
KIM 1851553259 1851553259 07/30/2018
LIU 1942483904 1891968012 03/07/2016
AGARWAL 1558440743 1679587679 09/25/2017
IZMAILOV 1487644456 1235285024 03/11/2013
BRANETS 1043335185 1164555124 02/18/2019
ABRAHAM 1598991044 1164555124 07/05/2021
PORTEOUS-COLE 1053494112 1285893719 03/12/2018
ULERIO-BONILLA 1346338712 1346338712 05/06/2013
RAHMAN 1346258597 1346258597 01/22/2018
Page 1477 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 10003 NEW YORK
2012 1 11420 QUEENS
2011 1 10031 NEW YORK
2012 1 10027 NEW YORK
2016 3 10705 WESTCHESTER
2015 1 10038 NEW YORK
2016 1 10038 NEW YORK
2012 1 10970 ROCKLAND
2017 2 10010 NEW YORK
2020 5 10010 NEW YORK
2016 3 10573 WESTCHESTER
2012 1 10034 NEW YORK
2013 1 11372 QUEENS
Page 1478 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
METROPOLITAN HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
LINCOLN DENTAL PC (40.749338, -
73.789673)
828 2137 11
MARCUS JONATHAN Z DDS (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
KIM KATHERINE KYUNGMIN DDS (41.039278, -
73.805386)
1440 2185 53
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
A&R ADVANCED DENTAL GROUP (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
ULERIO BONILLA YSABEL DDS (40.726966, -
74.005966)
737 2095 50
FAMOUS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
Page 1479 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
224
37 108
37 108
154
37 108
37 108
224
37 108
37 111
Page 1480 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RAJ
DENTIST ALKA
DENTIST MATTHEW
DENTIST ASMAHAN
DENTIST CLAUDIA
DENTIST JOANA
DENTIST SCOTT
DENTIST RORY
DENTIST OLANIYI
DENTIST JAMES
DENTIST URSZULA
DENTIST CARMEN
DENTIST JAMES
Page 1481 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SINGLA 1639168842 1639168842 09/02/2013
PATEL 1760544001 1467487637 07/05/2021
MALEK 1447531231 1164555124 12/23/2019
KHATER 1841542370 1164555124 07/10/2017
LOZANO 1629306931 1467487637 03/26/2018
FORSEA 1417368283 1164555124 12/23/2019
WEISS 1003026899 1003026899 04/13/2015
OGDEN 1477952166 1396711982 10/14/2019
EPEMOLU 1588698419 1619969458 07/02/2012
UYANIK 1992843734 1164555124 02/25/2019
KOROL 1417170630 1164555124 02/18/2019
SALCEDO 1699764233 1699764233 08/05/2019
LOPRESTI 1699825448 1164555124 03/14/2016
Page 1482 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11427 QUEENS
2020 5 10562 WESTCHESTER
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2016 3 10562 WESTCHESTER
2018 3 10010 NEW YORK
2014 1 11360 QUEENS
2018 2 12307 SCHENECTADY
2011 1 10566 WESTCHESTER
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2014 1 10040 NEW YORK
2016 1 10010 NEW YORK
Page 1483 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SINGLA RAJ KUMAR DDS (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WEISS SCOTT EVAN DDS (40.749338, -
73.789673)
828 2137 11
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SALCEDO CARMEN (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1484 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
224
37 108
37 108
224
37 108
37 111
617
224
37 108
37 108
37 108
37 108
Page 1485 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHITVAN
DENTIST MARTINE
DENTIST MANILAL
DENTIST DAVID
DENTIST HERBERT
DENTIST BARBARA
DENTIST QUAZI
DENTIST HASSAN
DENTIST MEHRDAD
DENTIST GLENN
DENTIST STEVEN
DENTIST SANG-CHOON
DENTIST CRAIG
DENTIST CARL
Page 1486 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUPTA 1881929057 1265707491 06/13/2016
MANDRACCHIA 1326372962 1164555124 11/25/2019
PATEL 1982694865 1912026840 12/05/2016
DERISSE 1396958146 1396958146 08/19/2013
WESTRICH 1194103887 1164555124 11/18/2019
SLASKA 1306053533 1164555124 02/25/2019
SATTER 1588653166 1568611721 01/11/2021
ALAMZAD 1831170430 1831170430 04/22/2013
HAGHIGHI 1023272325 1023272325 01/21/2013
ROCHLEN 1194926287 1164555124 11/25/2019
ALBERT 1972854776 1528306370 12/07/2015
CHO 1497064240 1164555124 01/20/2020
GOTHELF 1154311298 1154311298 02/23/2018
BLUMSTEIN 1962518282 1962518282 06/12/2019
Page 1487 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11706 SUFFOLK
2018 3 10010 NEW YORK
2015 1 11717 SUFFOLK
2013 1 10033 NEW YORK
2018 3 10010 NEW YORK
2017 2 10010 NEW YORK
2014 3 11373 QUEENS
2012 1 11372 QUEENS
2012 1 07306 OUT OF STATE
2018 3 10010 NEW YORK
2015 1 10031 NEW YORK
2018 2 10010 NEW YORK
2013 1 11372 QUEENS
2014 1 10952 ROCKLAND
Page 1488 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GREAT EXPRESSIONS DENTAL OF (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MANILAL PATEL DENTIST PC (40.820237, -
73.119032)
1421 2179 3
DERISSE DAVID DMD (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
TODAYS DENTAL NY PC (40.749338, -
73.789673)
828 2137 11
ALAMZAD MOHAMMAD HASSAN DDS (40.749338, -
73.789673)
828 2137 11
HAGHIGHI MEHRDAD DDS
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DR LAWRENCE FEDER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GOTHELF CRAIG G DDS (40.749338, -
73.789673)
828 2137 11
BLUMSTEIN CARL MARK DDS (41.127287, - 1546 628 27
Page 1489 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
137
37 108
37 108
37 108
37 111
37 111
37 108
37 108
37 108
37 111
154
Page 1490 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST MORAIMA
DENTIST CARLOS
DENTIST ANTHONY
DENTIST JONNATHAN
DENTIST WALTER
DENTIST KONSTANTINE
DENTIST FERNANDO
DENTIST GRETCHEN
DENTIST LAWRENCE
DENTIST KAUSHIK
DENTIST HERBERT
DENTIST PRABHAKAR
DENTIST VIET
Page 1491 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DE LA CRUZ 1023007473 1023007473 11/22/2016
OVALLE 1790988939 1790988939 02/11/2013
CASINO 1649214651 1053482067 09/15/2014
FIGUEROA 1366766354 1851328199 10/07/2013
EDWARDS 1467594069 1467594069 05/20/2016
KISELEV 1285846899 1285846899 01/18/2019
CORDERO 1558402123 1558402123 03/04/2013
HENSON 1578524872 1699076083 10/06/2017
COHEN 1942431531 1164555124 07/31/2017
KHAKHAR 1871500439 1871500439 12/16/2013
WESTRICH 1194103887 1164555124 02/25/2019
KOPPIKAR 1871646430 1871646430 04/08/2019
TRAN 1154688869 1053482067 04/24/2017
Page 1492 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11378 QUEENS
2012 1 10033 NEW YORK
2014 1 11794 SUFFOLK
2013 1 10025 NEW YORK
2013 1 10801 WESTCHESTER
2014 1 10301 RICHMOND
2012 1 11385 QUEENS
2013 1 10007 NEW YORK
2016 1 10010 NEW YORK
2013 1 11104 QUEENS
2017 2 10010 NEW YORK
2014 1 11367 QUEENS
2016 1 11784 SUFFOLK
Page 1493 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.017033)
DELACRUZ MORAIMA R DDS (40.749338, -
73.789673)
828 2137 11
OVALLE CARLOS MANUEL DDS (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
EDWARDS WALTER G DDS JR (41.039278, -
73.805386)
1440 2185 53
KISELEV KONSTANTIN D DDS (40.566763, -
74.148102)
609 2139 47
CORDERO FERNANDO DDS (40.749338, -
73.789673)
828 2137 11
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KHAKHAR KAUSHIK P DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KOPPIKAR PRABHAKAR MURLIDHAR (40.749338, -
73.789673)
828 2137 11
SUNY AT STONY BROOK (40.820237, - 1421 2179 3
Page 1494 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
137
37 108
224
37 7
37 111
37 108
37 108
37 111
37 108
37 111
137
Page 1495 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST STEVEN
DENTIST JUNG-HUN
DENTIST LEO
DENTIST LEONARD
DENTIST BRIGETTE
DENTIST YOLANDA
DENTIST ANDRE
DENTIST ALAN
DENTIST MARINA
DENTIST LOUIS
DENTIST TAKYAN
DENTIST JOHN
DENTIST BRIAN
Page 1496 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GRANDILLO 1023136876 1023136876 08/19/2013
KIM 1568518066 1568518066 06/15/2015
MOSKOWITZ 1326029224 1821045485 07/31/2017
CHIAT 1760486799 1164555124 03/07/2016
MORALES 1134101652 1134101652 11/04/2013
GEORGE 1194707083 1508955592 09/13/2021
MONTAZEM 1740242437 1063426377 08/17/2015
ROSENTHAL 1689688772 1164555124 01/06/2020
ISAKOVA 1043291974 1043291974 08/28/2017
DE SANTIS 1447321096 1164555124 08/24/2020
CHAN 1205979051 1851328199 08/27/2012
MORROW 1891845848 1134137375 05/16/2016
STEIGER 1942230875 1073729380 07/29/2013
Page 1497 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 11708 SUFFOLK
2014 2 10001 NEW YORK
2016 1 11412 QUEENS
2016 1 10010 NEW YORK
2013 1 11691 QUEENS
2021 2 11435 QUEENS
2014 1 10029 NEW YORK
2018 2 10010 NEW YORK
2016 1 11368 QUEENS
2019 4 10010 NEW YORK
2011 1 10025 NEW YORK
2015 1 10038 NEW YORK
2012 1 11725 SUFFOLK
Page 1498 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
GRANDILLO STEVEN ANTHONY DDS (40.820237, -
73.119032)
1421 2179 3
KIM JUNG-HUN DDS (40.726966, -
74.005966)
737 2095 50
MEDISYS FAMILY CARE (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MORALES BRIGETTE (40.749338, -
73.789673)
828 2137 11
PROJECT SAMARITAN HLTH SVCS I (40.749338, -
73.789673)
828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ISAKOVA MARINA D DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
SEGUNDO RUIZ BELVIS D & T CTR (40.726966, -
74.005966)
737 2095 50
THE WISDOM TOOTH OF COMMACK (40.820237, - 1421 2179 3
Page 1499 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 111
37 108
37 111
37 111
37 108
37 108
37 111
37 108
37 108
37 108
137
Page 1500 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST ALFONZO
DENTIST CARLA
DENTIST GRECY
DENTIST BHARAT
DENTIST KRISHNAMOORTHY
DENTIST AISEL
DENTIST MATTHEW
DENTIST YELENA
DENTIST KLENISE
DENTIST JOSEFA
DENTIST JEFFREY
DENTIST LUCY
Page 1501 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ILYAYEV 1518967108 1518967108 01/05/2015
OWENS 1497833347 1356406136 07/31/2017
WEISFELD 1750547766 1750547766 04/21/2014
MARTINEZ 1447319652 1447319652 01/04/2018
JOSHI 1629072186 1164555124 02/18/2019
SUBRAMANIAM 1578682092 1578682092 06/13/2016
FELIX 1801887146 1801887146 09/19/2019
MALEK 1447531231 1164555124 03/21/2016
MINDEL 1548604085 1194967729 07/31/2017
PARANHOS 1013276799 1164555124 02/25/2019
RIVAS 1245386713 1245386713 03/06/2017
SACKS 1497872105 1164555124 03/14/2016
CAPOBIANCO 1033298914 1801803903 05/09/2016
Page 1502 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11416 QUEENS
2015 1 10038 NEW YORK
2013 2 11372 QUEENS
2012 1 10031 NEW YORK
2017 2 10010 NEW YORK
2016 1 11432 QUEENS
2014 2 11368 QUEENS
2016 1 10010 NEW YORK
2016 1 11720 SUFFOLK
2017 2 10010 NEW YORK
2012 1 11377 QUEENS
2016 1 10010 NEW YORK
2015 1 10038 NEW YORK
Page 1503 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
ILYAYEV ROBERT DDS (40.749338, -
73.789673)
828 2137 11
CUMBERLAND D & T CTR (40.726966, -
74.005966)
737 2095 50
CARLA ISABEL WEISFELD (40.749338, -
73.789673)
828 2137 11
MARTINEZ BELLIARD GRECY DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUBRAMANIAM KRISHNAMOORTHY (40.749338, -
73.789673)
828 2137 11
FELIX AISEL L DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CINQUEMANI & LEIBOWITZ D D S P C (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RIVAS JOSEFA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
QUEENS HOSPITAL (40.726966, - 737 2095 50
Page 1504 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 111
37 108
37 108
37 111
37 111
37 108
137
37 108
37 111
37 108
37 108
Page 1505 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ELENA
DENTIST ALFRED
DENTIST MARTIN
DENTIST JENNIFER
DENTIST JESSICA
DENTIST BENJAMIN
DENTIST YANA
DENTIST TZVI
DENTIST SIMKHA
DENTIST HERBERT
DENTIST LOURDES
DENTIST DAVID
DENTIST DEBRA
Page 1506 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DAMIANO 1801007935 1164555124 07/05/2021
SHIRZADNIA 1972786036 1407088008 02/18/2013
LAPIDUS 1639172638 1164555124 08/24/2020
MERRY 1780941906 1780941906 09/04/2017
MARN 1033221759 1699076083 10/07/2013
GODDER 1871713610 1164555124 02/18/2019
ZAMECHEK 1407900285 1669470019 04/26/2021
STEIN 1376774661 1598067670 06/17/2013
SOLOMON 1326219445 1851372742 05/19/2014
WESTRICH 1194103887 1164555124 03/14/2016
ALBANDOZ 1538316385 1538316385 12/10/2018
ARGHAVANI 1083813109 1164555124 07/05/2021
CINOTTI 1265554034 1053482067 06/15/2015
Page 1507 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2020 4 10010 NEW YORK
2012 1 10001 NEW YORK
2019 4 10010 NEW YORK
2016 1 13069 OSWEGO
2013 1 10013 NEW YORK
2017 2 10010 NEW YORK
2020 2 10977 ROCKLAND
2012 1 11693 QUEENS
2013 1 11375 QUEENS
2016 1 10010 NEW YORK
2017 3 11368 QUEENS
2020 5 10010 NEW YORK
2014 1 11794 SUFFOLK
Page 1508 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
IAN D PASCH D D S P C (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MERRY JENNIFER MARGARET (43.39123, -
76.31133)
623 2135 41
URBAN PEDIATRIC DENTAL PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
DR STEINS DENTAL GROUP PLLC (40.749338, -
73.789673)
828 2137 11
TWINS DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ALBANDOZ LOURDES MARHILDA (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SUNY AT STONY BROOK (40.820237, - 1421 2179 3
Page 1509 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
533
37 108
37 108
154
37 111
37 111
37 108
37 111
37 108
137
Page 1510 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SHAHIDA
DENTIST MAGED
DENTIST MATTHEW
DENTIST NAZMUS
DENTIST NATALIA
DENTIST GARY
DENTIST PHILIP
DENTIST ALICE
DENTIST GENE
DENTIST PATRICIA
DENTIST MOHAMMAD
DENTIST SOFIA
DENTIST ERIKA
Page 1511 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QAZI 1376547232 1164555124 02/25/2019
ISKAROS 1023177227 1164555124 11/18/2019
GOLDSMITH 1053455089 1720160690 11/02/2015
ZAHANGIR 1164666871 1467486449 05/13/2013
ELSON 1639496094 1164555124 01/06/2020
HERSKOVITS 1942376389 1164555124 08/31/2020
BUCCIGROSSI 1134136823 1376600551 03/25/2013
RIEGEL 1912907072 1457424863 08/06/2012
SHERWIN 1740411222 1164555124 02/25/2019
SEAGRIFF-CURTIN 1114093630 1386714228 11/02/2015
RAHMAN 1700924362 1700924362 06/29/2015
VRATARIC 1841338225 1245498500 10/27/2014
BRODKIN 1417019845 1467487637 07/05/2021
Page 1512 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2014 1 11722 SUFFOLK
2012 1 10035 NEW YORK
2018 3 10010 NEW YORK
2019 4 10010 NEW YORK
2012 1 10303 RICHMOND
2011 1 10001 NEW YORK
2017 2 10010 NEW YORK
2014 3 10595 WESTCHESTER
2014 2 11432 QUEENS
2014 1 10128 NEW YORK
2020 6 10562 WESTCHESTER
Page 1513 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.119032)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
UCP ASSO OF NYS STATEN IS (40.566763, -
74.148102)
609 2139 47
VILLAGE CARE HEALTH CLINIC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
RAHMAN MOHAMMAD WAHEDUR (40.749338, -
73.789673)
828 2137 11
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, - 1440 2185 53
Page 1514 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
137
37 108
37 108
37 108
37 7
37 108
37 108
224
37 111
37 108
224
Page 1515 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JEROME
DENTIST HOWARD
DENTIST ROBER
DENTIST STEVEN
DENTIST LAURA
DENTIST LAURIE
DENTIST GEORGE
DENTIST EVELYN
DENTIST ALPER
DENTIST MIHAELA
DENTIST BIJAN
DENTIST DAVID
DENTIST APRIL
Page 1516 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAPLAN 1770715708 1164555124 02/18/2019
BACKER 1568663086 1164555124 07/05/2021
EYCKMANS 1447261128 1447261128 11/26/2012
RESNICK 1518982255 1164555124 01/06/2020
MANZO 1801958277 1467487637 08/19/2019
ESPOSITO 1659741023 1164555124 07/31/2017
RAYMOND 1073503991 1164555124 03/07/2016
NELSON 1922334473 1164555124 02/25/2019
COMUT 1932321783 1164555124 07/05/2021
SCHIOPU 1174770937 1689669079 11/02/2015
MOGHADAM 1528270139 1164555124 04/25/2016
TARRAB 1164802575 1164555124 08/17/2020
CHAMPEN 1902810765 1912225236 02/26/2018
Page 1517 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2020 5 10010 NEW YORK
2012 1 10029 NEW YORK
2018 3 10010 NEW YORK
2018 4 10562 WESTCHESTER
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2020 4 10010 NEW YORK
2014 1 12550 ORANGE
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2016 4 13501 ONEIDA
Page 1518 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 73.805386)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
EYCKMANS ROBERT DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -
74.241929)
1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RUSHVILLE HEALTH CENTER INC (43.149482, - 1281 625 40
Page 1519 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
224
37 108
37 108
37 108
37 108
76
37 108
37 108
794
Page 1520 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALISON
DENTIST MICHAEL
DENTIST IAN
DENTIST ANA
DENTIST MARTIN
DENTIST MARC
DENTIST SVETLANA
DENTIST ALEXANDER
DENTIST TAKANORI
DENTIST COSMO
DENTIST LESLIE
DENTIST STEVEN
DENTIST RAHA
Page 1521 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADLER 1134482102 1063480218 04/20/2015
DARLING 1952306094 1952306094 11/11/2013
SOBLER 1477712149 1477712149 10/01/2018
SUAREZ-TIBURCIO 1356684062 1932453172 03/16/2020
PRAGER 1952440331 1164555124 07/05/2021
MICHALOWICZ 1841297058 1669470019 12/16/2019
FETMAN 1831360957 1831360957 09/01/2017
KERR 1306994645 1164555124 03/21/2016
SUZUKI 1548509987 1164555124 04/25/2016
DESTENO 1518920727 1164555124 02/18/2019
ABRAHAM 1598991044 1164555124 02/18/2019
FISHER 1073744652 1164555124 03/14/2016
IRAJ 1760545164 1285893719 08/19/2019
Page 1522 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 10950 ORANGE
2013 2 13208 ONONDAGA
2013 1 10956 ROCKLAND
2016 1 10029 NEW YORK
2020 5 10010 NEW YORK
2018 2 10977 ROCKLAND
2013 1 11373 QUEENS
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2016 1 10010 NEW YORK
2018 4 10573 WESTCHESTER
Page 1523 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
75.361773)
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
DARLING MICHAEL JAMES DDM (43.065629, -
76.168033)
713 2132 43
SOBLER IAN D DDS (41.127287, -
74.017033)
1546 628 27
P & R EXECUTIVE DENTAL MANAGEMENT (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
FETMAN SVETLANA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, - 1440 2185 53
Page 1524 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
755
154
37 108
37 108
154
37 111
37 108
37 108
37 108
37 108
37 108
224
Page 1525 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST FARHAD
DENTIST DIGNA
DENTIST TANIA
DENTIST FRED
DENTIST NADESCA
DENTIST PRATIX
DENTIST MARK
DENTIST IGOR
DENTIST FILOFTEIA
DENTIST PARIS
DENTIST ARIAN
DENTIST NEENA
DENTIST JEFFREY
Page 1526 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VAHIDI 1588846356 1164555124 02/25/2019
RODRIGUEZ 1114205697 1114178795 08/20/2018
ROHANY 1548487663 1548487663 05/04/2018
DUBROWSKY 1922110683 1164555124 02/18/2019
DULUC 1477698132 1477698132 07/08/2016
SHROFF 1881683167 1881683167 12/08/2014
BORNFELD 1427050541 1164555124 02/18/2019
CHIKUNOV 1386760338 1164555124 11/25/2019
BADILA 1023070133 1497796353 11/06/2017
PETERSEN 1669454096 1588877591 07/21/2014
SADEGHI 1720314446 1720314446 09/04/2017
BHATTY 1356417208 1467487637 07/16/2012
ROMANOWSKI 1730354416 1164555124 04/25/2016
Page 1527 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2016 3 10032 NEW YORK
2013 1 10032 NEW YORK
2017 2 10010 NEW YORK
2012 1 10977 ROCKLAND
2014 1 11004 QUEENS
2017 2 10010 NEW YORK
2018 3 10010 NEW YORK
2016 1 13202 ONONDAGA
2013 1 10031 NEW YORK
2015 1 11368 QUEENS
2011 1 10562 WESTCHESTER
2016 1 10010 NEW YORK
Page 1528 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC 73.805386)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
RAVI C MADDALI DDS PC (40.726966, -
74.005966)
737 2095 50
ROHANY TANIA DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DULUC NADESCA MARLENI DDS (41.127287, -
74.017033)
1546 628 27
SHROFF PRATIX KANTILAL (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SYRACUSE COMM HEALTH CTR INC (43.065629, -
76.168033)
713 2132 43
L J PROFESSIONAL DENTAL P C (40.726966, -
74.005966)
737 2095 50
SADEGHI ARIAN (40.749338, -
73.789673)
828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1529 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
154
37 111
37 108
37 108
755
37 108
37 111
224
37 108
Page 1530 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JAE
DENTIST ROSEMARY
DENTIST IRINA
DENTIST KELI
DENTIST ANDREW
DENTIST MELTON
DENTIST ROBERT
DENTIST LUBNA
DENTIST FRED
DENTIST LEONARD
DENTIST AMIT
DENTIST PORFIRIO
DENTIST ALEXANDER
Page 1531 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OH 1396922712 1669470019 03/31/2014
KHER 1114093887 1427063270 08/24/2015
PINSKY 1912055443 1912055443 02/17/2014
HOLLIS 1487885505 1467432765 05/19/2014
MARKOWITZ 1013059336 1487630638 09/02/2013
ADLER 1851373575 1851373575 02/09/2015
BRUNO 1487678793 1487678793 11/04/2013
ALAM 1932523875 1770832503 06/13/2016
DUBROWSKY 1922110683 1164555124 03/21/2016
CHIAT 1760486799 1164555124 08/24/2020
PATEL 1700218120 1669470019 10/12/2020
NUNEZ 1023238326 1023238326 08/05/2013
KERR 1306994645 1164555124 07/05/2021
Page 1532 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10977 ROCKLAND
2014 1 11373 QUEENS
2013 1 11418 QUEENS
2013 2 13617 ST.LAWRENCE
2013 1 11967 SUFFOLK
2014 1 11358 QUEENS
2013 1 11377 QUEENS
2015 1 10027 NEW YORK
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2019 2 10977 ROCKLAND
2013 1 11746 SUFFOLK
2020 5 10010 NEW YORK
Page 1533 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
LINCOLN MEDICAL/MENTAL HLTH (40.749338, -
73.789673)
828 2137 11
PINSKY IRINA DDS (40.749338, -
73.789673)
828 2137 11
UCPA OF THE NORTH COUNTRY (44.689468, -
75.242045)
1581 2140 41
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
ADLER MELTON A DDS (40.749338, -
73.789673)
828 2137 11
BRUNO ROBERT W DDS (40.749338, -
73.789673)
828 2137 11
AFSHAN HAQUE DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
NUNEZ PORFIRIO (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1534 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 111
37 111
919
137
37 111
37 111
37 108
37 108
37 108
154
137
37 108
Page 1535 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST JASON
DENTIST GARY
DENTIST ROBERT
DENTIST SAMIH
DENTIST THOMAS
DENTIST ALLAN
DENTIST PETER
DENTIST MERCEDES
DENTIST ROBERT
DENTIST SINAN
DENTIST LOREANE
DENTIST IGOR
DENTIST ROBERTA
Page 1536 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOL 1205873312 1205873312 05/20/2016
HERSKOVITS 1942376389 1164555124 03/14/2016
SANFORD 1073635942 1164555124 08/17/2020
ATTIA 1073719860 1073719860 10/19/2018
TAGLIANI 1831221175 1891968012 05/11/2017
GRAYSON 1598887440 1164555124 01/06/2020
HERTZ 1013902147 1164555124 03/14/2016
PINA 1104803840 1104803840 05/18/2015
JACOBSON 1154440162 1154440162 12/23/2013
ABDULLAH 1376519892 1396711982 05/19/2014
ENGELHARDT 1639297823 1043663107 10/21/2019
CHIKUNOV 1386760338 1164555124 02/18/2019
SCHREINER 1144251570 1477505220 07/31/2017
Page 1537 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 2 11372 QUEENS
2016 1 10010 NEW YORK
2019 4 10010 NEW YORK
2014 1 11385 QUEENS
2013 1 10038 NEW YORK
2018 3 10010 NEW YORK
2016 1 10010 NEW YORK
2014 2 10033 NEW YORK
2013 1 10701 WESTCHESTER
2013 2 12307 SCHENECTADY
2018 5 11722 SUFFOLK
2017 2 10010 NEW YORK
2016 1 11416 QUEENS
Page 1538 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SOL DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ATTIA SAMIH A DDS (40.749338, -
73.789673)
828 2137 11
MAILIN MIMI LAI DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PINA MERCEDES DDS (40.726966, -
74.005966)
737 2095 50
NEW SMILE DENTAL LLC (41.039278, -
73.805386)
1440 2185 53
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
LISH INC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, - 828 2137 11
Page 1539 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 111
37 108
37 108
37 108
37 108
224
617
137
37 108
37 111
Page 1540 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KRISTINE
DENTIST CYNTHIA
DENTIST ALLA
DENTIST GLENN
DENTIST STEVEN
DENTIST DAVID
DENTIST ROBERT
DENTIST DANIEL
DENTIST YOUNG
DENTIST SILVIA
DENTIST COSMO
DENTIST SHARON
DENTIST SKY
Page 1541 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WATKINS 1043346182 1891240784 04/08/2019
TSEN 1457683575 1457683575 08/10/2015
LITVINOVA 1144311309 1144311309 11/22/2016
ROCHLEN 1194926287 1164555124 08/24/2020
KAUFMAN 1750414686 1720160690 09/23/2013
HERSHKOWITZ 1689722381 1164555124 03/14/2016
HWANG 1588719421 1760436190 07/23/2012
TAVELINSKY 1831319268 1669470019 04/17/2017
NO 1639390297 1639390297 02/19/2018
SPIVAKOVSKY 1013907674 1164555124 08/17/2020
DESTENO 1518920727 1164555124 03/07/2016
JACOBSON 1316252208 1558533828 01/19/2015
BERDAHL 1376764084 1023024882 08/03/2015
Page 1542 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 4 11722 SUFFOLK
2014 2 11373 QUEENS
2012 1 10039 NEW YORK
2019 4 10010 NEW YORK
2013 1 11722 SUFFOLK
2016 1 10010 NEW YORK
2011 1 10001 NEW YORK
2016 1 10567 WESTCHESTER
2016 1 10002 NEW YORK
2019 4 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 10952 ROCKLAND
2014 1 10016 NEW YORK
Page 1543 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
73.789673)
LISH INC (40.820237, -
73.119032)
1421 2179 3
TSEN CYNTHIA (40.749338, -
73.789673)
828 2137 11
LITVINOVA ALLA V DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.039278, -
73.805386)
1440 2185 53
NO YOUNG H DDS PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MIRIAM ARONOFF DDS PLLC (41.127287, -
74.017033)
1546 628 27
NORTH CENTRAL BRONX (40.726966, - 737 2095 50
Page 1544 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 111
37 108
37 108
137
37 108
37 108
224
37 108
37 108
37 108
154
37 108
Page 1545 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST RALPH
DENTIST BENJAMIN
DENTIST TASIOS
DENTIST MARCELO
DENTIST RUPESH
DENTIST JACOB
DENTIST RAMINDER
DENTIST MICHAEL
DENTIST STEVEN
DENTIST TASIOS
DENTIST DAVID
DENTIST MANUEL
DENTIST TIMOTHY
Page 1546 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EPSTEIN 1750414744 1053482067 09/29/2014
NEREN 1063704245 1164555124 07/10/2017
VAKKAS 1174681076 1023024882 10/09/2017
CALDERON 1467677054 1467677054 11/02/2018
SINGLA 1437210382 1437210382 11/02/2018
ORBACH 1295806883 1295806883 07/28/2014
SINGH 1053300525 1053300525 11/02/2015
GREGORIO 1699004200 1164555124 04/25/2016
ENGEBRETSON 1265563589 1164555124 11/18/2019
VAKKAS 1174681076 1023024882 03/22/2021
GLOTZER 1881826469 1164555124 02/18/2019
GALAN 1619054947 1619054947 12/17/2012
LEVINE 1265734891 1679587679 09/04/2017
Page 1547 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2014 1 11794 SUFFOLK
2016 1 10010 NEW YORK
2016 1 10038 NEW YORK
2014 1 11420 QUEENS
2013 1 10011 NEW YORK
2016 1 11365 QUEENS
2014 1 14850 TOMPKINS
2016 1 10010 NEW YORK
2018 3 10010 NEW YORK
2020 3 10038 NEW YORK
2017 2 10010 NEW YORK
2012 1 10031 NEW YORK
2016 1 10038 NEW YORK
Page 1548 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
SUNY AT STONY BROOK (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NORTH CENTRAL BRONX (40.726966, -
74.005966)
737 2095 50
CALDERON MARCELO EDUARDO DDS (40.749338, -
73.789673)
828 2137 11
SINGLA RUPESH KUMAR DMD (40.726966, -
74.005966)
737 2095 50
ORBACH JACOB EPHRAIM DDS (40.749338, -
73.789673)
828 2137 11
SINGH RAMINDER DDS (42.461024, -
76.478784)
1786 2181 58
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NORTH CENTRAL BRONX (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GALAN DENTAL PC (40.726966, -
74.005966)
737 2095 50
JACOBI MEDICAL CENTER (40.726966, - 737 2095 50
Page 1549 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 108
37 108
37 111
37 108
37 111
496
37 108
37 108
37 108
37 108
37 108
37 108
Page 1550 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ALLAN
DENTIST ROBERT
DENTIST MICHAEL
DENTIST LOUIS
DENTIST SANFORD
DENTIST LEONARD
DENTIST JUSTIN
DENTIST VIVIAN
DENTIST NEAL
DENTIST SOHELI
DENTIST DENNIS
DENTIST EMAD
DENTIST SILVIA
Page 1551 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KATZ 1992788103 1992788103 03/10/2014
SERINO 1487793642 1609915883 08/05/2019
SHERMAN 1245323559 1245323559 01/22/2018
LIN 1922329317 1164555124 02/25/2019
SHAEV 1083776702 1083776702 09/23/2013
ELZEY 1134315807 1134315807 01/12/2015
HURLBURT 1801051495 1396711982 05/19/2014
WASMUHT-PERROUD 1841382124 1164555124 08/24/2020
AUERBACH 1578642344 1578642344 11/02/2015
AZAD 1093924755 1093924755 06/22/2015
PALLADINO 1043270747 1548229958 09/09/2019
IBRAHIM 1558403204 1558403204 06/11/2018
SPIVAKOVSKY 1013907674 1164555124 11/18/2019
Page 1552 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2013 1 10970 ROCKLAND
2014 1 11776 SUFFOLK
2013 1 11706 SUFFOLK
2017 2 10010 NEW YORK
2013 1 10550 WESTCHESTER
2014 1 10940 ORANGE
2013 2 12307 SCHENECTADY
2019 4 10010 NEW YORK
2015 1 10804 WESTCHESTER
2014 2 11372 QUEENS
2014 1 10007 NEW YORK
2013 1 11757 SUFFOLK
2018 3 10010 NEW YORK
Page 1553 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
KATZ ALLAN DDS (41.127287, -
74.017033)
1546 628 27
STEPHEN B GOLD R SERINO DDS (40.820237, -
73.119032)
1421 2179 3
SHERMAN MICHAEL L DDS (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SHAEV SANFORD R DDS (41.039278, -
73.805386)
1440 2185 53
ELZEY LEONARD DEMETURIS DDS (41.422459, -
74.241929)
1496 2134 32
HOMETOWN HEALTH CENTERS (42.809233, -
73.946838)
74 2142 42
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AUERBACH NEAL J DDS (41.039278, -
73.805386)
1440 2185 53
AZAD SOHELI ANAR (40.749338, -
73.789673)
828 2137 11
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
IBRAHIM EMAD EZZAT DDS PC (40.820237, -
73.119032)
1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, - 737 2095 50
Page 1554 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
137
137
37 108
224
76
617
37 108
224
37 111
37 108
137
37 108
Page 1555 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
DENTIST SURESH
DENTIST YURIY
DENTIST MARTA
DENTIST BARRY
DENTIST HARMON
DENTIST JOSEPH
DENTIST ARUNA
DENTIST MARC
DENTIST JAMES
DENTIST STEVEN
DENTIST TASIOS
DENTIST MELVYN
Page 1556 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GLICKMAN 1104915230 1164555124 02/18/2019
VAKHARIA 1467402107 1467402107 10/14/2013
FATAKHOV 1023140407 1023140407 01/05/2015
PISINSKA 1457385635 1467469023 08/10/2015
LANGSAM 1144299207 1679587679 02/26/2018
COOPER 1588636799 1164555124 03/21/2016
LEANZA 1760470827 1760470827 12/10/2012
SAPRA 1861522252 1861522252 12/21/2015
HENSCHEL 1861614562 1164555124 03/21/2016
APLTAUER 1114250859 1164555124 03/07/2016
GLASSMAN 1295812667 1295812667 04/06/2015
VAKKAS 1174681076 1023024882 06/08/2020
SEGAL 1740428721 1164555124 01/06/2020
Page 1557 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2012 1 10031 NEW YORK
2014 2 11375 QUEENS
2014 1 07026 OUT OF STATE
2016 1 10038 NEW YORK
2016 1 10010 NEW YORK
2012 1 10601 WESTCHESTER
2015 1 10927 ROCKLAND
2016 1 10010 NEW YORK
2016 1 10010 NEW YORK
2014 1 10305 RICHMOND
2019 2 10038 NEW YORK
2018 3 10010 NEW YORK
Page 1558 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
74.005966)
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
VAKHARIA SURESH V (40.726966, -
74.005966)
737 2095 50
Y & E ELITE DENTAL CARE PLLC (40.749338, -
73.789673)
828 2137 11
WOODHULL MED & MNTL HLTH CTR
JACOBI MEDICAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
LEANZA JOSEPH DDS (41.039278, -
73.805386)
1440 2185 53
SAPRA ARUNA M (41.127287, -
74.017033)
1546 628 27
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GLASSMAN STEVEN L DDS (40.566763, -
74.148102)
609 2139 47
NORTH CENTRAL BRONX (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1559 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 108
37 108
224
154
37 108
37 108
37 7
37 108
37 108
Page 1560 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CECILIA
DENTIST WAYNE
DENTIST FRANCISCO
DENTIST POORIA
DENTIST PAUL
DENTIST DOMINICK
DENTIST SHELDON
DENTIST VENIAMIN
DENTIST KENNETH
DENTIST ROBERT
DENTIST IAN
DENTIST ZAHRA
DENTIST RICHARD
Page 1561 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LAROCHE 1164627113 1164627113 11/12/2019
KYE 1154430965 1164555124 03/14/2016
MEJIA 1225117690 1225117690 03/17/2017
SHAHIN 1700115946 1700115946 10/15/2012
COHEN 1043201759 1548229958 09/09/2019
CONGIUSTA 1427153543 1164555124 12/23/2019
WINIK 1417179151 1386714228 04/23/2018
LEVANT 1083603666 1750475935 02/09/2017
FLEISHER 1275612970 1164555124 02/18/2019
GUREASKO 1134337389 1164555124 02/18/2019
GASKIN 1538212386 1659688109 06/10/2013
BAGHERI 1851710719 1164555124 11/25/2019
KOSOFSKY 1467675470 1164555124 08/24/2020
Page 1562 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 11423 QUEENS
2016 1 10010 NEW YORK
2012 1 11717 SUFFOLK
2012 1 10069 NEW YORK
2014 1 10007 NEW YORK
2018 3 10010 NEW YORK
2016 4 10595 WESTCHESTER
2012 1 11372 QUEENS
2017 2 10010 NEW YORK
2017 2 10010 NEW YORK
2012 1 14301 NIAGARA
2018 3 10010 NEW YORK
2019 4 10010 NEW YORK
Page 1563 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LAROCHE CECILIA N DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
MEJIA FRANCISCO DDS (40.820237, -
73.119032)
1421 2179 3
SHAHIN POORIA (40.726966, -
74.005966)
737 2095 50
METROPOLITAN DENTAL ASSOC DDS (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -
73.805386)
1440 2185 53
ALLIANCE DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ALLIANCE FAMILY DENTAL PC (43.134634, -
78.856419)
1107 2131 62
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1564 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
137
37 108
37 108
37 108
224
37 111
37 108
37 108
835
37 108
37 108
Page 1565 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ARELYS
DENTIST STANLEY
DENTIST JAMES
DENTIST YUNG CHENG PAUL
DENTIST JANET
DENTIST ANAMARIA
DENTIST LOBSANG
DENTIST YASMI
DENTIST GREGORY
DENTIST MARIANNE
DENTIST SHOSHANA
DENTIST LYNDA
DENTIST VIVIAN
Page 1566 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANTANA 1679547376 1679547376 02/09/2017
GERSCH 1235205923 1164555124 08/24/2020
APLTAUER 1114250859 1164555124 11/18/2019
YU 1104214568 1164555124 08/17/2020
BOZZONE 1689737231 1467487637 01/21/2019
MUNOZ 1790980704 1164555124 07/05/2021
TSOMO 1174833644 1881991214 11/27/2017
CRYSTAL 1215957014 1164555124 03/21/2016
OSELKIN 1952457848 1952457848 01/27/2014
MOLFETAS 1194857888 1669817938 08/11/2014
HONIKMAN 1942415419 1124334826 05/05/2014
ALBANDOZ 1063703080 1063703080 09/11/2017
WASMUHT-PERROUD 1841382124 1164555124 07/31/2017
Page 1567 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11372 QUEENS
2019 3 10010 NEW YORK
2018 3 10010 NEW YORK
2019 2 10010 NEW YORK
2017 4 10562 WESTCHESTER
2020 3 10010 NEW YORK
2013 1 11370 QUEENS
2016 1 10010 NEW YORK
2013 1 10029 NEW YORK
2014 1 11105 QUEENS
2013 1 10027 NEW YORK
2016 1 11368 QUEENS
2016 1 10010 NEW YORK
Page 1568 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANTANA ARELYS DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -
73.805386)
1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
DEBORAH NINA DENTAL OFFICE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
OSELKIN GREGORY DDS (40.726966, -
74.005966)
737 2095 50
CORRECTIONAL MEDICAL ASSOCIATES
OF
(40.749338, -
73.789673)
828 2137 11
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
ALBANDOZ FUENTES LYNDA M (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
Page 1569 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
37 108
224
37 108
37 111
37 108
37 108
37 111
37 108
37 111
37 108
Page 1570 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST BIJAN
DENTIST ANANT
DENTIST PATRICIA
DENTIST RICHARD
DENTIST JOSEPH
DENTIST PETER
DENTIST KENNETH
DENTIST RONALD
DENTIST JAMES
DENTIST RONALD
DENTIST BIJAN
DENTIST JENNIFER
DENTIST PHILIP
Page 1571 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MOGHADAM 1528270139 1164555124 02/25/2019
GUPTA 1891977138 1891977138 11/25/2013
MILLER 1568559870 1033124961 04/06/2020
KOSOFSKY 1467675470 1164555124 01/06/2020
ALERTE 1366568818 1700911682 03/12/2019
MYCHAJLIW 1912062431 1164555124 07/31/2017
MAGID 1235141045 1164555124 02/25/2019
SCHWARTZ 1861437014 1356457303 01/07/2019
SU 1710976923 1710976923 05/04/2018
GUTMAN 1649324757 1245498500 10/27/2014
MOGHADAM 1528270139 1164555124 07/05/2021
YOON 1407978836 1851328199 11/02/2015
HWANG 1336111079 1336111079 10/16/2017
Page 1572 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2017 2 10010 NEW YORK
2013 1 11354 QUEENS
2019 3 10038 NEW YORK
2018 3 10010 NEW YORK
2014 1 11429 QUEENS
2016 1 10010 NEW YORK
2017 2 10010 NEW YORK
2017 3 14301 NIAGARA
2013 1 10033 NEW YORK
2014 1 10128 NEW YORK
2020 5 10010 NEW YORK
2014 3 10025 NEW YORK
2016 1 11354 QUEENS
Page 1573 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
GUPTA ANANT RAM DDS (40.749338, -
73.789673)
828 2137 11
HARLEM HOSPITAL CENTER (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
FIRST ALERT DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
SCHWARTZ & GEDEON DDS PC (43.134634, -
78.856419)
1107 2131 62
SU JAMES YU JEN DDS PC (40.726966, -
74.005966)
737 2095 50
RONALD GUTMAN DMD PC (40.726966, -
74.005966)
737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
WILLIAM F RYAN COMM HLTH CTR (40.726966, -
74.005966)
737 2095 50
PHILIP K HWANG DENTAL CARE PC (40.749338, -
73.789673)
828 2137 11
Page 1574 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
37 111
37 108
37 108
835
37 108
37 108
37 108
37 108
37 111
Page 1575 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DELIA
DENTIST ZAHRA
DENTIST NATALYA
DENTIST DANDLINE
DENTIST GABRIEL
DENTIST HARRY
DENTIST PREETHA
DENTIST GERALD
DENTIST CARMEN
DENTIST CHRISTINE
DENTIST DARRYL
DENTIST ANTHONY
DENTIST REUVEN
Page 1576 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DOWNING 1790010510 1275624694 02/22/2016
BAGHERI 1851710719 1164555124 08/24/2020
ORLOVA 1215141981 1215141981 09/30/2019
ALEXANDRE 1295172401 1114137403 05/09/2016
FULOP 1871587196 1164555124 08/31/2020
CAMPBELL 1639253552 1124334826 12/02/2013
KURUVILLA 1760677165 1760677165 06/16/2014
HOCH 1891990248 1164555124 02/18/2019
PENA 1871750166 1669470019 12/10/2012
SITLER 1902160062 1619969458 05/16/2016
CAESAR 1063770691 1467486449 08/31/2015
DE MARCO 1881897056 1720160690 05/20/2016
MOHL 1114916277 1073767380 09/16/2013
Page 1577 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2015 1 12701 SULLIVAN
2019 4 10010 NEW YORK
2014 2 10034 NEW YORK
2015 1 10302 RICHMOND
2019 4 10010 NEW YORK
2013 2 10027 NEW YORK
2014 1 11004 QUEENS
2017 2 10010 NEW YORK
2012 1 10977 ROCKLAND
2015 1 10566 WESTCHESTER
2014 1 10035 NEW YORK
2014 2 11722 SUFFOLK
2013 1 10024 NEW YORK
Page 1578 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SDTC THE CENTER FOR DISCOVERY (41.705166, -
74.711705)
1024 2180 32
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
ORLOVA NATALYA DDS (40.726966, -
74.005966)
737 2095 50
COMMUNITY HLTH CTR OF RICHMOND,
INC
(40.566763, -
74.148102)
609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
JESSICA BARCESSAT DMD PC (40.726966, -
74.005966)
737 2095 50
KURUVILLA PREETHA DDS (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -
74.017033)
1546 628 27
HUDSON RIVER HEALTHCARE INC (41.039278, -
73.805386)
1440 2185 53
EAST HARLEM COUNCIL HUM SERV (40.726966, -
74.005966)
737 2095 50
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -
73.119032)
1421 2179 3
WEST SIDE GENTAL DENTAL PC (40.726966, -
74.005966)
737 2095 50
Page 1579 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
283
37 108
37 108
37 7
37 108
37 108
37 111
37 108
154
224
37 108
137
37 108
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Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST VENIAMIN
DENTIST RAJINDER
DENTIST LYDIA
DENTIST DANIEL
DENTIST EDWARD
DENTIST RBEEA
DENTIST YOEL
DENTIST RAFAEL
DENTIST ROBERT
DENTIST SANFORD
Page 1581 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEVANT 1083603666 1750475935 01/21/2013
JAIN 1770668055 1164555124 01/06/2020
MIHOVILOVIC-HUMES 1184763625 1700943750 08/04/2014
KUNCIO 1447399365 1043525926 10/29/2012
FEUER 1184766636 1487630638 09/02/2013
KHAN 1487887246 1700161338 06/09/2014
MEGADESH 1982820163 1265657662 10/11/2019
FARKAS 1184647133 1063480218 09/15/2014
DOMOZYCH 1235271362 1235271362 07/28/2014
BUCH 1700901642 1295729408 05/13/2013
Page 1582 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
2012 1 11372 QUEENS
2018 3 10010 NEW YORK
2013 1 10543 WESTCHESTER
2012 1 11421 QUEENS
2013 1 11967 SUFFOLK
2014 1 11419 QUEENS
2014 1 12550 ORANGE
2014 1 10950 ORANGE
2014 1 11730 SUFFOLK
2012 1 12401 ULSTER
Page 1583 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALLIANCE DENTAL PC (40.749338, -
73.789673)
828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -
74.005966)
737 2095 50
AMERICAN MOBILE DENTAL PC (41.039278, -
73.805386)
1440 2185 53
WOODHAVEN ORTHODONTICS PLLC (40.749338, -
73.789673)
828 2137 11
A & B DENTAL PC (40.820237, -
73.119032)
1421 2179 3
LIBERTY 786 DENTISTRY PLLC (40.749338, -
73.789673)
828 2137 11
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -
74.241929)
1496 2134 32
EZRAS CHOILIM HLTH CTR INC (41.422459, -
74.241929)
1496 2134 32
DOMOZYCH ROBERT A DDS (40.820237, -
73.119032)
1421 2179 3
INSTITUTE FOR FAMILY HLTH (41.848374, -
74.099412)
264 2182 32
Page 1584 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
224
37 111
137
37 111
76
76
137
198
Page 1585 of 1585 11/14/2021
Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
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