Dental
Tender Smiles of Roselle PA
Tender Smiles of Roselle PA was paid $1.76M by Medicaid between Oct 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoTENDER SMILES OF ROSELLE PA
LINDEN, NJ 07036
LINDEN, NJ 07036
33aNPI1063999506assigned 07/27/2018
33bProvider typePediatric Dentist
28Total paid$1.76M
24GClaims86,024
24DCodes billed30
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#33 of 190
Median peer was paid$275K
This provider vs. median6.4×
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 | 960 | $25K | |
| 2019 | 8,996 | $145K | |
| 2020 | 10,742 | $159K | |
| 2021 | 15,104 | $210K | |
| 2022 | 17,291 | $284K | |
| 2023 | 17,372 | $479K | |
| 2024incomplete | 15,559 | $461K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 12,013 | 11,766 | $410K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 11,117 | 10,905 | $237K |
| D1351 | Sealant - per tooth | 11% | 9,249 | 1,997 | $195K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 8,581 | 8,373 | $188K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,431 | 1,999 | $186K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 2,185 | 1,393 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,748 | 1,716 | $66K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 4,063 | 3,741 | $53K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 798 | 502 | $44K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 1,470 | 1,411 | $43K |
| D0272 | Bitewings - two radiographic images | 1.8% | 3,842 | 3,779 | $32K |
| D0603 | 1.7% | 5,050 | 4,941 | $29K |
18 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 220 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 407 | $19K |
| D0330 | Panoramic radiographic image | 1.0% | 758 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,826 | $17K |
| D0240 | <1% | 1,053 | $17K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,134 | $14K |
| D0274 | Bitewings - four radiographic images | <1% | 1,512 | $14K |
| D9248 | <1% | 74 | $14K | |
| D0602 | <1% | 2,351 | $14K | |
| D1206 | Topical application of fluoride varnish | <1% | 3,785 | $14K |
| D0601 | <1% | 1,580 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 300 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 42 | $3K |
| D9920 | <1% | 270 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $420.00 |
| D1310 | 0% | 259 | $0.00 | |
| D1330 | 0% | 1,035 | $0.00 | |
| D1999 | 0% | 1,859 | $0.00 |
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 officialSULLA, MAXIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tender Smiles 4 Kids of Monmouth, LLC | Freehold, NJ | $9.50M |
| Maxim Sulla,dds, Professional Association | North Brunswick, NJ | $8.20M |
| Tender Smiles of Ocean PA | Ocean, NJ | $1.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.