Jersey Dental

Jersey Dental was paid $9K by Medicaid between Dec 2019 and Oct 2021, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.

33Billing provider infoJERSEY DENTAL
SOUTH PLAINFIELD, NJ 07080

33aNPI1184271165assigned 08/23/2019

33bProvider typeGeneral Practice Physician

28Total paid$9K

24GClaims295

24DCodes billed6

24AFirst – last monthDec 2019 – Oct 2021

Compared with peers

Next to other General Practice Physician providers in New Jersey

Rank by total paid#22 of 35

Median peer was paid$17K

This provider vs. median0.6×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	48%	94	94	$5K
D0150	Comprehensive oral evaluation - new or established patient	27%	102	102	$3K
D0210	Intraoral - complete series of radiographic images	20%	41	41	$2K
D0274	Bitewings - four radiographic images	2.1%	14	14	$200.62
D0220	Intraoral - periapical first radiographic image	2.1%	30	30	$198.60
D0230	Intraoral - periapical each additional radiographic image	<1%	14	14	$30.94

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 officialSADIQ, ASAD (OWNER)