Dental
Bergen Pediatric Dental, LLC
Bergen Pediatric Dental, LLC was paid $1.01M by Medicaid between Jan 2018 and Jun 2022, across 16 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoBERGEN PEDIATRIC DENTAL, LLC
RIDGEFIELD PARK, NJ 07660
RIDGEFIELD PARK, NJ 07660
33aNPI1235323825assigned 08/28/2007
33bProvider typePediatric Dentist
28Total paid$1.01M
24GClaims13,090
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#53 of 190
Median peer was paid$275K
This provider vs. median3.7×
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 | 3,204 | $216K | |
| 2019 | 1,405 | $103K | |
| 2020 | 1,604 | $123K | |
| 2021 | 3,301 | $253K | |
| 2022 | 3,576 | $310K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 2,887 | 796 | $329K |
| D9420 | 30% | 952 | 947 | $302K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 24% | 4,397 | 878 | $238K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 995 | 386 | $57K |
| D2933 | 2.3% | 152 | 44 | $23K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 180 | 89 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 244 | 84 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 577 | 574 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 109 | 68 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 753 | 750 | $4K |
| D1351 | Sealant - per tooth | <1% | 169 | 57 | $4K |
| D2330 | <1% | 74 | 39 | $4K |
4 more codes
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 officialSTILLMAN, DMITRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DS Dental Arts | Cliffside Park, NJ | $3.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.