Samudrla, Jayasudha

Samudrla, Jayasudha was paid $3K by Medicaid between Nov 2023 and Sep 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 70% of everything it billed.

33Billing provider infoSAMUDRLA, JAYASUDHA
NORTH BRUNSWICK, NJ 08902

33aNPI1063667525assigned 11/25/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims94

24DCodes billed3

24AFirst – last monthNov 2023 – Sep 2024

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#616 of 790

Median peer was paid$43K

This provider vs. median0.1×

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
2023	15	$572.50
2024incomplete	79	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	70%	55	55	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	24	24	$592.50
D0150	Comprehensive oral evaluation - new or established patient	12%	15	15	$372.50

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.