Dental
One and Only Complete Dental, PC
One and Only Complete Dental, PC was paid $46K by Medicaid between Jan 2018 and Sep 2019, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoONE AND ONLY COMPLETE DENTAL, PC
UNION CITY, NJ 07087
UNION CITY, NJ 07087
33aNPI1245671718assigned 07/12/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$46K
24GClaims2,640
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#390 of 790
Median peer was paid$43K
This provider vs. median1.1×
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 | 2,178 | $40K | |
| 2019 | 462 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 516 | 516 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 346 | 346 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 201 | 201 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 237 | 237 | $5K |
| D0274 | Bitewings - four radiographic images | 8.9% | 275 | 275 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 412 | 410 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 509 | 498 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 34 | 24 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 57 | 57 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 21 | 14 | $845.25 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 15 | 15 | $402.50 |
| D1206 | Topical application of fluoride varnish | <1% | 17 | 17 | $276.00 |
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 officialRO, CHARLES (PRESIDENT)