Dental
Pure Dental LLC
Pure Dental LLC was paid $142K by Medicaid between Jun 2018 and Nov 2024, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 49% of everything it billed.
33Billing provider infoPURE DENTAL LLC
NORTHVALE, NJ 07647
NORTHVALE, NJ 07647
33aNPI1215398847assigned 03/09/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$142K
24GClaims6,495
24DCodes billed12
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#262 of 790
Median peer was paid$43K
This provider vs. median3.3×
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 | 51 | $127.05 | |
| 2019 | 52 | $203.55 | |
| 2020 | 256 | $3K | |
| 2021 | 831 | $14K | |
| 2022 | 1,632 | $39K | |
| 2023 | 1,847 | $42K | |
| 2024incomplete | 1,826 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 49% | 1,496 | 381 | $70K |
| D1110 | Prophylaxis - adult | 13% | 769 | 760 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 526 | 522 | $12K |
| D2332 | 6.6% | 153 | 54 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 172 | 68 | $9K |
| D0274 | Bitewings - four radiographic images | 5.9% | 742 | 735 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 1,188 | 1,171 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 191 | 190 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 1,216 | 1,023 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 12 | $242.53 |
| D1206 | Topical application of fluoride varnish | <1% | 12 | 12 | $198.48 |
| D0603 | <1% | 17 | 17 | $63.00 |
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 officialJUNG, JURA (OWNER)