Cespedes, Nelfa

Cespedes, Nelfa was paid $498K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 23% of everything it billed.

33Billing provider infoCESPEDES, NELFA
PASSAIC, NJ 07055

33aNPI1336120559assigned 11/07/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$498K

24GClaims14,705

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#117 of 790

Median peer was paid$43K

This provider vs. median12×

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	5,232	$152K
2019	2,654	$86K
2020	1,314	$43K
2021	2,298	$90K
2022	884	$37K
2023	1,264	$49K
2024incomplete	1,059	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	23%	3,246	2,866	$112K
D1120	Dental cleaning, childProphylaxis - child	19%	2,240	2,096	$94K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	1,035	550	$78K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	2,667	2,320	$55K
D1110	Prophylaxis - adult	7.8%	972	817	$39K
D0274	Bitewings - four radiographic images	6.9%	1,439	1,190	$35K
D0330	Panoramic radiographic image	4.0%	399	380	$20K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	521	474	$16K
D1310		2.8%	637	540	$14K
D1330		2.4%	644	547	$12K
D1351	Sealant - per tooth	2.2%	556	109	$11K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.1%	55	26	$6K

6 more codes

D1208	Topical application of fluoride, excluding varnish	<1%	84	$2K
D7140	Extraction, erupted tooth or exposed root	<1%	47	$2K
D0272	Bitewings - two radiographic images	<1%	101	$2K
D0140	Limited oral evaluation - problem focused	<1%	34	$850.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	14	$770.00
D0220	Intraoral - periapical first radiographic image	<1%	14	$168.00

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.