Dental
Passaic Dental Association
Passaic Dental Association was paid $549K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoPASSAIC DENTAL ASSOCIATION
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1184861114assigned 01/13/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$549K
24GClaims28,400
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#108 of 790
Median peer was paid$43K
This provider vs. median13×
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 | 4,575 | $90K | |
| 2019 | 4,516 | $97K | |
| 2020 | 2,692 | $45K | |
| 2021 | 3,119 | $56K | |
| 2022 | 4,254 | $68K | |
| 2023 | 6,218 | $137K | |
| 2024incomplete | 3,026 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 4,123 | 4,091 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,117 | 3,081 | $85K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,851 | 911 | $79K |
| D4341 | 14% | 1,380 | 518 | $76K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 1,013 | 464 | $38K |
| D0274 | Bitewings - four radiographic images | 4.8% | 3,263 | 3,221 | $26K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 894 | 863 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 4,911 | 4,812 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 600 | 600 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 758 | 748 | $19K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.6% | 34 | 27 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 182 | 89 | $11K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 3,856 | $11K |
| D0180 | 1.9% | 338 | $11K | |
| D0330 | Panoramic radiographic image | 1.5% | 788 | $8K |
| D1120 | Dental cleaning, child | 1.3% | 314 | $7K |
| D7230 | <1% | 21 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 89 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 292 | $3K |
| D2950 | <1% | 27 | $2K | |
| D9911 | <1% | 537 | $1K | |
| D9945 | <1% | 12 | $360.00 |
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 officialROLLINS, MONICA (OFFICE MANAGER)