Matawan/Old Bridge Dental, PA

Matawan/Old Bridge Dental, PA was paid $6K by Medicaid between Apr 2019 and Sep 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 69% of everything it billed.

33Billing provider infoMATAWAN/OLD BRIDGE DENTAL, PA
MATAWAN, NJ 07747

33aNPI1295920098assigned 09/14/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims260

24DCodes billed5

24AFirst – last monthApr 2019 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#574 of 790

Median peer was paid$43K

This provider vs. median0.1×

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
2019	12	$675.00
2020	12	$75.00
2021	28	$925.00
2022	86	$2K
2023	122	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	69%	76	76	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	28	28	$875.00
D0220	Intraoral - periapical first radiographic image	8.6%	84	82	$525.00
D0274	Bitewings - four radiographic images	4.7%	27	27	$285.00
D0230	Intraoral - periapical each additional radiographic image	2.8%	45	41	$172.50

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 officialKELLER, DENNIS (OWNER)