Providers

CHRISTIAN J OCONNOR, DMD

NPI 1962651836, individual, Bronx, NY, Dentist, General Practice

1
Evidence tier
documented action, then payment
  • Listed on the NY Medicaid exclusion list since October 3, 2021.
  • Medicaid still paid claims in 19 later months, $32,020 in total.
  • Medicaid dollars per patient on code D2335 ($532 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 22, $32K at stake

Public list actions

OIG exclusion August 20, 2024 under section 1128a1
Ind- Lic HC Serv Pro, Dentist, North Haven, CT

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
NY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedOct 3, 2021still open19Feb 2022Oct 2023$32K$41K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameCHRISTIAN J OCONNOR, DMD
TypeIndividual
StatusActive
NPI issuedSeptember 16, 2008, last updated September 16, 2008
Practice location466 E FORDHAM RD, Bronx, NY 10458-5108, 718-365-4300
Specialties
Dentist, General Practice (1223G0001X, primary, license 053179 NY)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
D2335Medicaid service code$291K60%$532$187 (top 5% from $408)98th percentile
D1110Medicaid service code$45K9%$28$45 (top 5% from $86)15th percentile
D2393Medicaid service code$31K6%$256$129 (top 5% from $285)92nd percentile
D0120Medicaid service code$26K5%$20$26 (top 5% from $63)24th percentile
D0140Limited oral evaluation - problem focused$18K4%$26$29 (top 5% from $60)44th percentile
D0210Medicaid service code$17K4%$45$47 (top 5% from $78)42nd percentile
D0150Medicaid service code$12K2%$29$35 (top 5% from $66)35th percentile
D0274Medicaid service code$12K2%$26$23 (top 5% from $40)59th percentile

In this area

34 providers in Bronx County, NY carry an indicator in the public record, with $69.0M at stake between them. The most common is more hours than a day holds, on 27 of them, followed by paid after a public list action on 3. 5 are tier 1: documented action, then payment.

tierproviderat stakewhy
1RESPONSIBLE CARE STAFFING INC
Bronx, NY, ranked 40
$4.6M
  • Adjudicated (pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated August 6, 2025.
  • Medicaid paid $4,563,061 in the last 12 observed months.
1QUEENS OPTOMETRIC CARE PLLC
Bronx, NY, ranked 72
$777K
  • Listed on the Medicare revocation list since October 25, 2023.
  • Medicaid still paid claims in 11 later months, $777,235 in total.
1SOUTHERN WESTCHESTER DIABETES, PC
Bronx, NY, ranked 150
$99K
  • Listed on the NY Medicaid exclusion list since December 4, 2018.
  • Medicaid still paid claims in 32 later months, $98,647 in total.
1WHITE PLAINS RD MEDICAL PC
Bronx, NY, ranked 308
$7K
  • Listed on the NY Medicaid exclusion list since May 16, 2012.
  • Medicaid still paid claims in 3 later months, $6,682 in total.
1HEALTH SMART PHARMACY INC
Bronx, NY, ranked 490
$0
  • Adjudicated (sentenced) per a state attorney general release dated November 20, 2024.
  • No Medicaid payments in the last 12 observed months.
3FIELDSTON LODGE CARE CENTER
Bronx, NY, ranked 6605
$0
  • Part of provider network D1-00091, ranked 91 nationally.
3GOLD CREST CARE CENTER INC.
Bronx, NY, ranked 7251
$0
  • Part of provider network D1-00091, ranked 91 nationally.
4LUIS GONZALES
Bronx, NY, ranked 7395
$7.8M
  • Hours beyond a day in 10 months, but with up to 849 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
All 34 in NY

Recent enforcement in NY

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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