Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JERSEY DENTAL

NPI: 1184271165 · SOUTH PLAINFIELD, NJ 07080 · General Practice Physician · NPI assigned 08/23/2019

$9K
Total Medicaid Paid
295
Total Claims
295
Beneficiaries
6
Codes Billed
2019-12
First Month
2021-10
Last Month

Provider Details

Authorized OfficialSADIQ, ASAD (OWNER)
NPI Enumeration Date08/23/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $86.06
2020 39 $1K
2021 243 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 94 94 $5K
D0150 Comprehensive oral evaluation - new or established patient 102 102 $3K
D0210 Intraoral - complete series of radiographic images 41 41 $2K
D0274 Bitewings - four radiographic images 14 14 $200.62
D0220 Intraoral - periapical first radiographic image 30 30 $198.60
D0230 Intraoral - periapical each additional radiographic image 14 14 $30.94