South Paterson Dental Group

South Paterson Dental Group was paid $25K by Medicaid between Jan 2018 and Sep 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoSOUTH PATERSON DENTAL GROUP
PATERSON, NJ 07503

33aNPI1215103841assigned 05/04/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims1,664

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#459 of 790

Median peer was paid$43K

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
2018	876	$13K
2019	788	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	452	446	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	498	495	$8K
D0330	Panoramic radiographic image	18%	281	281	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.4%	73	39	$2K
D0230	Intraoral - periapical each additional radiographic image	6.5%	156	155	$2K
D0220	Intraoral - periapical first radiographic image	2.9%	190	189	$718.50
D0150	Comprehensive oral evaluation - new or established patient	1.3%	14	14	$324.00

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 officialSIMON, MARC (DENTIST)