Dental
Comprehensive Pediatric Dentistry
Comprehensive Pediatric Dentistry was paid $3.23M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoCOMPREHENSIVE PEDIATRIC DENTISTRY
BOUND BROOK, NJ 08805
BOUND BROOK, NJ 08805
33aNPI1043441876assigned 07/28/2009
33bProvider typePediatric Dentist
28Total paid$3.23M
24GClaims103,774
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#18 of 190
Median peer was paid$275K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,969 | $417K | |
| 2019 | 11,472 | $356K | |
| 2020 | 10,218 | $305K | |
| 2021 | 13,575 | $414K | |
| 2022 | 17,146 | $516K | |
| 2023 | 20,650 | $634K | |
| 2024incomplete | 18,744 | $585K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 15,484 | 15,360 | $690K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 14,155 | 14,050 | $504K |
| D1351 | Sealant - per tooth | 11% | 14,785 | 3,637 | $360K |
| D1206 | Topical application of fluoride varnish | 11% | 18,980 | 18,851 | $359K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 1,478 | 649 | $249K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 3,105 | 1,668 | $236K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 2,308 | 2,285 | $113K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 3,948 | 3,788 | $102K |
| D9248 | 2.8% | 389 | 360 | $89K | |
| D0330 | Panoramic radiographic image | 2.8% | 1,951 | 1,944 | $89K |
| D0603 | 2.4% | 10,850 | 10,746 | $78K | |
| D7111 | 2.3% | 1,120 | 574 | $73K |
12 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 913 | $66K |
| D0272 | Bitewings - two radiographic images | 1.8% | 4,673 | $57K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,750 | $35K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,725 | $30K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 292 | $24K |
| D0602 | <1% | 2,195 | $20K | |
| D0274 | Bitewings - four radiographic images | <1% | 840 | $16K |
| D2390 | <1% | 77 | $15K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 132 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,566 | $8K |
| D1110 | Prophylaxis - adult | <1% | 42 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 16 | $770.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCRYSTAL, YASMI (OWNER)