TENDER SMILES OF OCEAN PA
NPI: 1265000673
· OCEAN, NJ 07712
· Pediatric Dentist
· NPI assigned 06/12/2021
$1.00M
Total Medicaid Paid
Provider Details
| Authorized Official | SULLA, MAXIM (OWNER) |
| NPI Enumeration Date | 06/12/2021 |
Related Entities
Other providers sharing the same authorized official: SULLA, MAXIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,355 |
$32K |
| 2022 |
6,486 |
$176K |
| 2023 |
12,457 |
$382K |
| 2024 |
14,249 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
4,689 |
4,391 |
$219K |
| D1351 |
|
4,027 |
825 |
$110K |
| D0120 |
|
2,990 |
2,801 |
$104K |
| D2392 |
|
1,376 |
785 |
$99K |
| D0150 |
|
1,759 |
1,651 |
$72K |
| D1208 |
|
3,008 |
2,806 |
$69K |
| D9248 |
|
344 |
291 |
$55K |
| D7140 |
|
534 |
326 |
$34K |
| D0140 |
|
737 |
674 |
$30K |
| D9230 |
|
1,574 |
1,358 |
$30K |
| D0272 |
|
1,996 |
1,870 |
$28K |
| D2930 |
|
218 |
143 |
$24K |
| D1206 |
|
1,670 |
1,573 |
$23K |
| D0240 |
|
2,313 |
746 |
$20K |
| D2391 |
|
340 |
225 |
$20K |
| D0220 |
|
1,654 |
1,528 |
$13K |
| D0603 |
|
1,508 |
1,414 |
$10K |
| D3220 |
|
142 |
92 |
$9K |
| D0330 |
|
235 |
213 |
$9K |
| D0230 |
|
1,226 |
1,124 |
$8K |
| D0602 |
|
1,155 |
1,067 |
$7K |
| D0601 |
|
1,007 |
932 |
$7K |
| D2393 |
|
16 |
12 |
$1K |
| D1110 |
|
13 |
12 |
$567.00 |
| D0145 |
|
16 |
14 |
$178.48 |