Dental
Encore Dental of Toms River
Encore Dental of Toms River was paid $1.23M by Medicaid between Jun 2020 and Apr 2022, across 20 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 59% of everything it billed.
33Billing provider infoENCORE DENTAL OF TOMS RIVER
TOMS RIVER, NJ 08753
TOMS RIVER, NJ 08753
33aNPI1225676018assigned 12/12/2019
33bProvider typeEndodontist
28Total paid$1.23M
24GClaims15,594
24DCodes billed20
24AFirst – last monthJun 2020 – Apr 2022
Compared with peers
Next to other Endodontist providers in New Jersey
Rank by total paid#10 of 60
Median peer was paid$91K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 2,239 | $212K | |
| 2021 | 7,789 | $781K | |
| 2022 | 5,566 | $234K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 59% | 1,411 | 1,063 | $730K |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 2,511 | 2,499 | $94K |
| D2954 | 5.3% | 1,005 | 783 | $65K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.8% | 621 | 272 | $59K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.2% | 195 | 173 | $52K |
| D1110 | Prophylaxis - adult | 4.1% | 2,059 | 2,051 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,207 | 1,198 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 1,361 | 1,353 | $29K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.4% | 58 | 57 | $29K |
| D9222 | 1.8% | 178 | 173 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 781 | 762 | $15K |
| D9310 | 1.1% | 549 | 540 | $13K |
8 more codes
| D3320 | <1% | 29 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 106 | $6K |
| D1120 | Dental cleaning, child | <1% | 290 | $6K |
| D3310 | <1% | 19 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 776 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,993 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 163 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 282 | $117.45 |
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 officialROTONDA, JOELLE (CREDENTIALING MANAGER)