1585
Provider Type Eligible Hospital Name Eligible 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 View Based on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011

DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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Page 1: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 2: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 3: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 4: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 5: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 6: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 7: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 8: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 9: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 10: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 11: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 12: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 13: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 14: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 15: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 16: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 17: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 18: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 19: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 20: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 21: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 22: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 23: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 24: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 25: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 26: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 27: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 28: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 29: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 30: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 31: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 32: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 33: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 34: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 35: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 36: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 37: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 38: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 39: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 40: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 41: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 42: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 43: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 44: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 45: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 46: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 47: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 48: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 49: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 50: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 51: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 52: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 53: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 54: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 55: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 56: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 57: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 58: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 59: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 60: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 61: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 62: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 63: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 64: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 65: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 66: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 67: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 68: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 69: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 70: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 71: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 72: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 73: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 74: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 75: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 76: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 77: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 78: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 79: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 80: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 81: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 82: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 83: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 84: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 85: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 86: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 87: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 88: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 89: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 90: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 91: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 92: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 93: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 94: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 95: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 96: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 97: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 98: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 99: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 100: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 101: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 102: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 103: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 104: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 105: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 106: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 107: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 108: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 109: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 110: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 111: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 112: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 113: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 114: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 115: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 116: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 117: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 118: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 119: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 120: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 121: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 122: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 123: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 124: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 125: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 126: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 127: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 128: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 129: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 130: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 131: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 132: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 133: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 134: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 135: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 136: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 137: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 138: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 139: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 140: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 141: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 142: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 143: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 144: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 145: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 146: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 147: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 148: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 149: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 150: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 151: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 152: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 153: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 154: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 155: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 156: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 157: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 158: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 159: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 160: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 161: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 162: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 163: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 164: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 165: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 166: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 167: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 168: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 169: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 170: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 171: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 172: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 173: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 174: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 175: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 176: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 177: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 178: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 179: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 180: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 181: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 182: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 183: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 184: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 185: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 186: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 187: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 188: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 189: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 190: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 191: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 192: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 193: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 194: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 195: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 196: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 197: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 198: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 199: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 200: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 201: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 202: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 203: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 204: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 205: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 206: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 207: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 208: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 209: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 210: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 211: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 212: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 213: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 214: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 215: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 216: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 217: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 218: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 219: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 220: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 221: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 222: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 223: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 224: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 225: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 226: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 227: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 228: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 229: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 230: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 231: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 232: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 233: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 234: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 235: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 236: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 237: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 238: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 239: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 240: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 241: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 242: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 243: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 244: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 245: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 246: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 247: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 248: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 249: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 250: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 251: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 252: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 253: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 254: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 255: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 256: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 257: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 258: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 259: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 260: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 261: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 262: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 263: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 264: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 265: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 266: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 267: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 268: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 269: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 270: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 271: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 272: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 273: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 274: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 275: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 276: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 277: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 278: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 279: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 280: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 281: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 282: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 283: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 284: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 285: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 286: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 287: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 288: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 289: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 290: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 291: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 292: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 293: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 294: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 295: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 296: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 297: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 298: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 299: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 300: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 301: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 302: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 303: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 304: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 305: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 306: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 307: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 308: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 309: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 310: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 311: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 312: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 313: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 314: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 315: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 316: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 317: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 318: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 319: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 320: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 321: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 322: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 323: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 324: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 325: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 326: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 327: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 328: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 329: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 330: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 331: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 332: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 333: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 334: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 335: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 336: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 337: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 338: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 339: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 340: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 341: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 342: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 343: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 344: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 345: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 346: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 347: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 348: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 349: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 350: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 351: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 352: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 353: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 354: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 355: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 356: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 357: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 358: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 359: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 360: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 361: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 362: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 363: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 364: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 365: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 366: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 367: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 368: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 369: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 370: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 371: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 372: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 373: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 374: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 375: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 376: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 377: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 378: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 379: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 380: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 381: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 382: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 383: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 384: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 385: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 386: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 387: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 388: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 389: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 390: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 391: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 392: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 393: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 394: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 395: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 396: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 397: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 398: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 399: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 400: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 401: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 402: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 403: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 404: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 405: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 406: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 407: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 408: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 409: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 410: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 411: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 412: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 413: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 414: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 415: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 416: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 417: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 418: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 419: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 420: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 421: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 422: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 423: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 424: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 425: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 426: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 427: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 428: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 429: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 430: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 431: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 432: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 433: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 434: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 435: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 436: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 437: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 438: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 439: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 440: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 441: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 442: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 443: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 444: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 445: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 446: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 447: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 448: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 449: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 450: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 451: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 452: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 453: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 454: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 455: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 456: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 457: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 458: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 459: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 460: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 461: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 462: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 463: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 464: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 465: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 466: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 467: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 468: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 469: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 470: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 471: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 472: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 473: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 474: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 475: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 476: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 477: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 478: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 479: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 480: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 481: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 482: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 483: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 484: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 485: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 486: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 487: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 488: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 489: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 490: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 491: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 492: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 493: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 494: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 495: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 496: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 497: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 498: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 499: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 500: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 501: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 502: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 503: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 504: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 505: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 506: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 507: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 508: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 509: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 510: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 511: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 512: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 513: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 514: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 515: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 516: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 517: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 518: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 519: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 520: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 521: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 522: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 523: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 524: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 525: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 526: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 527: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 528: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 529: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 530: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 531: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 532: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 533: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 534: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 535: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 536: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 537: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 538: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 539: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 540: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 541: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 542: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 543: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 544: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 545: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 546: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 547: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 548: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 549: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 550: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 551: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 552: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 553: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 554: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 555: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 556: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 557: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 558: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 559: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 560: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 561: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 562: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 563: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 564: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 565: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 566: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 567: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 568: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 569: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 570: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 571: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 572: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 573: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 574: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 575: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 576: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 577: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 578: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 579: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 580: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 581: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 582: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 583: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 584: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 585: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 586: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 587: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 588: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 589: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 590: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 591: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 592: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 593: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 594: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 595: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 596: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 597: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 598: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 599: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 600: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 601: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 602: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 603: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 604: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 605: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 606: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 607: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 608: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 609: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 610: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 611: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 612: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 613: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 614: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 615: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 616: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 617: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 618: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 619: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 620: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 621: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 622: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 623: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 624: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 625: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 626: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 627: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 628: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 629: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 630: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 631: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 632: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 633: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 634: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 635: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 636: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 637: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 638: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 639: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 640: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 641: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 642: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 643: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 644: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 645: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 646: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 647: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 648: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 649: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 650: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 651: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 652: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 653: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 654: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 655: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 656: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 657: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 658: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 659: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 660: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 661: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 662: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 663: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 664: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 665: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 666: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 667: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 668: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 669: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 670: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 671: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 672: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 673: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 674: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 675: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 676: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 677: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 678: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 679: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 680: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 681: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 682: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 683: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 684: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 685: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 686: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 687: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 688: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 689: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 690: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 691: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 692: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 693: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 694: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 695: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 696: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 697: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 698: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 699: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 700: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 701: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 702: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 703: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 704: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 705: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 706: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 707: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 708: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 709: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 710: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 711: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 712: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 713: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 714: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 715: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 716: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 717: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 718: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 719: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 720: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 721: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 722: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 723: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 724: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 725: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 726: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 727: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 728: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 729: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 730: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 731: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 732: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 733: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 734: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 735: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 736: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 737: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 738: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 739: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 740: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 741: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 742: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 743: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 744: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 745: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 746: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 747: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 748: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 749: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 750: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 751: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 752: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 753: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 754: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 755: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 756: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 757: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 758: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 759: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 760: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 761: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 762: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 763: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 764: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 765: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 766: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 767: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 768: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 769: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 770: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 771: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 772: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 773: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 774: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 775: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 776: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 777: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 778: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 779: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 780: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 781: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 782: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 783: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 784: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 785: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 786: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 787: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 788: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 789: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 790: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 791: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 792: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 793: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 794: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 795: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 796: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 797: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 798: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 799: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 800: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 801: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 802: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 803: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 804: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 805: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 806: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 807: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 808: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 809: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 810: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 811: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 812: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 813: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 814: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 815: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 816: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 817: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 818: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 819: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 820: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 821: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 822: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 823: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 824: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 825: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 826: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 827: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 828: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 829: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 830: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 831: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 832: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 833: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 834: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 835: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 836: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 837: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 838: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 839: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 840: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 841: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 842: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 843: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 844: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 845: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 846: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 847: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 848: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 849: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 850: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 851: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 852: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 853: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 854: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 855: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 856: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 857: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 858: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 859: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 860: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 861: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 862: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 863: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 864: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 865: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 866: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 867: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 868: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 869: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 870: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 871: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 872: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 873: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 874: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 875: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 876: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 877: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 878: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 879: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 880: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 881: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 882: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 883: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 884: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 885: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 886: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 887: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 888: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 889: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 890: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 891: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 892: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 893: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 894: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 895: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 896: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 897: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 898: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 899: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 900: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 901: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 902: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 903: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 904: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 905: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 906: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 907: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 908: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 909: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 910: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 911: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 912: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 913: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 914: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 915: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 916: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 917: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 918: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 919: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 920: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 921: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 922: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 923: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 924: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 925: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 926: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 927: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 928: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 929: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 930: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 931: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 932: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 933: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 934: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 935: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 936: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 937: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 938: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 939: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 940: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 941: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 942: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 943: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 944: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 945: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 946: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 947: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 948: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 949: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 950: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 951: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 952: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 953: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 954: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 955: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 956: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 957: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 958: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 959: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 960: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 961: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 962: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 963: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 964: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 965: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 966: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 967: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 968: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 969: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 970: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 971: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 972: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 973: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 974: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 975: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 976: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 977: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 978: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 979: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 980: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 981: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 982: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 983: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 984: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 985: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 986: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 987: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 988: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 989: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 990: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 991: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 992: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 993: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 994: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 995: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 996: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 997: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 998: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 999: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1000: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1001: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1002: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1003: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1004: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1005: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1006: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1007: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1008: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1009: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1010: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1011: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1012: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1013: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1014: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1015: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1016: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1017: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1018: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1019: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1020: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1021: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1022: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1023: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1024: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1025: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1026: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1027: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1028: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1029: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1030: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1031: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1032: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1033: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1034: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1035: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1036: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1037: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1038: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1039: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1040: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1041: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1042: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1043: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1044: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1045: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1046: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1047: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1048: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1049: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1050: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1051: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1052: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1053: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1054: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1055: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1056: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1057: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1058: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1059: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1060: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1061: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1062: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1063: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1064: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1065: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1066: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1067: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1068: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1069: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1070: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1071: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1072: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1073: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1074: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1075: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1076: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1077: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1078: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1079: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1080: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1081: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1082: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1083: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1084: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1085: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1086: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1087: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1088: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1089: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1090: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1091: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1092: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1093: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1094: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1095: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1096: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1097: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1098: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1099: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1100: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1101: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1102: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1103: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1104: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1105: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1106: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1107: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1108: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1109: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1110: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1111: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1112: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1113: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1114: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1115: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1116: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1117: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1118: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1119: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1120: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1121: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1122: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1123: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1124: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1125: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1126: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1127: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1128: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1129: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1130: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1131: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1132: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1133: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1134: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1135: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1136: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1137: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1138: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1139: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1140: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1141: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1142: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1143: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1144: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1145: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1146: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1147: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1148: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1149: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1150: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1151: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1152: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1153: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1154: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1155: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1156: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1157: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1158: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1159: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1160: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1161: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1162: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1163: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1164: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1165: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1166: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1167: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1168: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1169: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1170: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1171: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1172: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1173: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1174: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1175: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1176: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1177: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1178: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1179: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1180: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1181: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1182: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1183: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1184: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1185: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1186: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1187: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1188: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1189: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1190: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1191: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1192: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1193: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1194: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1195: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1196: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1197: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1198: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1199: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1200: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1201: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1202: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1203: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1204: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1205: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1206: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1207: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1208: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1209: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1210: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1211: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1212: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1213: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1214: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1215: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1216: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1217: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1218: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1219: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1220: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1221: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1222: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1223: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1224: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1225: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1226: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1227: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1228: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1229: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1230: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1231: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1232: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1233: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1234: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1235: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1236: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1237: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1238: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1239: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1240: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1241: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1242: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1243: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1244: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1245: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1246: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1247: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1248: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1249: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1250: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1251: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1252: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1253: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1254: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1255: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1256: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1257: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1258: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1259: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1260: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1261: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1262: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1263: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1264: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1265: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1266: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1267: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1268: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 1269: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1270: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1271: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1272: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1273: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1274: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1275: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1276: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1277: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1278: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1279: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1280: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1281: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1282: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1283: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1284: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1285: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1286: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1287: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1288: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1289: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1290: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1291: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1292: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1293: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1294: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1295: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1296: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1297: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1298: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1299: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1300: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1301: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1302: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1303: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1304: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1305: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1306: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1307: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1308: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1309: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1310: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1311: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1312: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1313: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1314: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1315: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1316: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1317: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1318: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1319: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1320: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1321: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1322: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1323: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1324: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1325: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1326: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1327: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1328: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1329: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1330: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1331: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1332: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1333: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1334: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

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Page 1335: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1336: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1337: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1338: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1339: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1340: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1341: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1342: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1343: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1344: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1345: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1346: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1347: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1348: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1349: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1350: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1351: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1352: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1353: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1354: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1355: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1356: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1357: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1358: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1359: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1360: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1361: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1362: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1363: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1364: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1365: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1366: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1367: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1368: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1369: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1370: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1371: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1372: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1373: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1374: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1375: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1376: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1377: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1378: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1379: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1380: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1381: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1382: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1383: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1384: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1385: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1386: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1387: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1388: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1389: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1390: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1391: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1392: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1393: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1394: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1395: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1396: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1397: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1398: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1399: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1400: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1401: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1402: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1403: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1404: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1405: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1406: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1407: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1408: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1409: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1410: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1411: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1412: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1413: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1414: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1415: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1416: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1417: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1418: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1419: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1420: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1421: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1422: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1423: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1424: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1425: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1426: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1427: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1428: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1429: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1430: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1431: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1432: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1433: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1434: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1435: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1436: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1437: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1438: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1439: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1440: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1441: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1442: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1443: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1444: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1445: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1446: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1447: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1448: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1449: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1450: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1451: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1452: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1453: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1454: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1455: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1456: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1457: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1458: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1459: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1460: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1461: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1462: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1463: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1464: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1465: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1466: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1467: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1468: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1469: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1470: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1471: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1472: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1473: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1474: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1475: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1476: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1477: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1478: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1479: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1480: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1481: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1482: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1483: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1484: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1485: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1486: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1487: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1488: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1489: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1490: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1491: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1492: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1493: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1494: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1495: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1496: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1497: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1498: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1499: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1500: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1501: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1502: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1503: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1504: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1505: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1506: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1507: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1508: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1509: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1510: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1511: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1512: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1513: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1514: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1515: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1516: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1517: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1518: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1519: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1520: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1521: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1522: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1523: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1524: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1525: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1526: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1527: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1528: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1529: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1530: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1531: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1532: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1533: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1534: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1535: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1536: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1537: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1538: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1539: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1540: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1541: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1542: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1543: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1544: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1545: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1546: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1547: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1548: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1549: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1550: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1551: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1552: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1553: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1554: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1555: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1556: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1557: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1558: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1559: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1560: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1561: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1562: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1563: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1564: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1565: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1566: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1567: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1568: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1569: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1570: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1571: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1572: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1573: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1574: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1575: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1576: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1577: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1578: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1579: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1580: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

283

37 108

37 108

37 7

37 108

37 108

37 111

37 108

154

224

37 108

137

37 108

Page 1580 of 1585 11/14/2021

Dentists ViewBased on Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011

Page 1581: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1582: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1583: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1584: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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

Page 1585: DENTIST GEORGE DENTIST USMAN DENTIST MARINA …

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