Clinic
Innova Dental Services LLC
Innova Dental Services LLC was paid $569.25 by Medicaid between Apr 2024 and Apr 2024, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoINNOVA DENTAL SERVICES LLC
JACKSON, NJ 08527
JACKSON, NJ 08527
33aNPI1275098881assigned 02/07/2019
33bProvider typeDental Clinic/Center
28Total paid$569.25
24GClaims12
24DCodes billed1
24AFirst – last monthApr 2024 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#58 of 70
Median peer was paid$50K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 12 | $569.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $569.25 |
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 officialROTHSTEIN, JEFFREY (DENTIST)