Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Aesthetic Dental Center of Hackensack LLC

Aesthetic Dental Center of Hackensack LLC was paid $899K by Medicaid between Jan 2018 and Aug 2023, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoAESTHETIC DENTAL CENTER OF HACKENSACK LLC
HACKENSACK, NJ 07601
33aNPI1154574804assigned 10/28/2008
28Total paid$899K
24GClaims43,789
24DCodes billed29
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#77 of 790
Median peer was paid$43K
This provider vs. median21×

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$20K$40K2018201920202021202220232024
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
201815,764$336K
201911,961$246K
20202,865$56K
20214,021$69K
20225,461$109K
20233,717$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 16% 5,225 5,210 $141K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 5,552 5,540 $115K
D1351 Sealant - per tooth 12% 6,673 1,087 $104K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.9% 1,926 1,168 $80K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.3% 884 472 $75K
D1206 Topical application of fluoride varnish 6.9% 2,880 2,862 $62K
D2751 Crown - porcelain fused to predominantly base metal 4.2% 95 75 $38K
D1208 Topical application of fluoride, excluding varnish 3.2% 2,667 2,667 $29K
D0140 Limited oral evaluation - problem focused 3.2% 1,345 1,315 $29K
D0150 Comprehensive oral evaluation - new or established patient 3.2% 1,303 1,301 $29K
D0603 3.2% 3,320 3,303 $29K
D0210 Intraoral - complete series of radiographic images 3.2% 956 956 $29K
17 more codes
D1110 Prophylaxis - adult 2.6% 1,175 $23K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.5% 619 $22K
D0274 Bitewings - four radiographic images 1.8% 1,442 $16K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.7% 964 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.4% 276 $13K
D0272 Bitewings - two radiographic images 1.3% 1,796 $12K
D0220 Intraoral - periapical first radiographic image 1.1% 2,269 $9K
D0230 Intraoral - periapical each additional radiographic image <1% 1,289 $6K
D0330 Panoramic radiographic image <1% 262 $6K
D4341 <1% 115 $5K
D7140 Extraction, erupted tooth or exposed root <1% 90 $4K
D9920 <1% 241 $4K
D0601 <1% 271 $3K
D0602 <1% 81 $814.50
D0240 <1% 44 $315.00
D0191 <1% 14 $195.00
D0270 <1% 15 $60.00

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 officialBAGAEVA, DARIA (OFFICE MANAGER)
Same official

Other billing entities under BAGAEVA, DARIA

Full network →
ProviderLocationPaid
Aesthetic Dental Center of Morris County LLCDover, NJ$159K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.