Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Cherry Hill Mall Dental LLP

Cherry Hill Mall Dental LLP was paid $22K by Medicaid between Jan 2018 and Feb 2019, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoCHERRY HILL MALL DENTAL LLP
CHERRY HILL, NJ 08002
33aNPI1043512643assigned 12/02/2010
28Total paid$22K
24GClaims1,957
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#472 of 790
Median peer was paid$43K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
20181,746$20K
2019211$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 287 287 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 287 287 $4K
D0150 Comprehensive oral evaluation - new or established patient 15% 145 145 $3K
D0274 Bitewings - four radiographic images 12% 282 282 $3K
D0220 Intraoral - periapical first radiographic image 7.3% 426 423 $2K
D0230 Intraoral - periapical each additional radiographic image 7.1% 374 373 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 39 26 $1K
D0210 Intraoral - complete series of radiographic images 4.4% 37 37 $962.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.5% 14 13 $532.00
D1120 Dental cleaning, childProphylaxis - child 1.6% 26 26 $350.00
D1208 Topical application of fluoride, excluding varnish 1.2% 26 26 $250.00
D0140 Limited oral evaluation - problem focused <1% 14 13 $196.00

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 officialKOROL, ANNA (OFFICE MANAGER)