Clinic
Jefferson Family Dentistry
Jefferson Family Dentistry was paid $982K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoJEFFERSON FAMILY DENTISTRY
LAKE HOPATCONG, NJ 07849
LAKE HOPATCONG, NJ 07849
33aNPI1346450913assigned 05/23/2007
33bProvider typeDental Clinic/Center
28Total paid$982K
24GClaims28,005
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#6 of 70
Median peer was paid$50K
This provider vs. median20×
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 | 2,389 | $100K | |
| 2019 | 3,430 | $117K | |
| 2020 | 3,337 | $113K | |
| 2021 | 4,699 | $181K | |
| 2022 | 5,795 | $217K | |
| 2023 | 4,937 | $165K | |
| 2024incomplete | 3,418 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 4,212 | 4,180 | $217K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15% | 1,486 | 1,144 | $152K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,609 | 4,572 | $99K |
| D2750 | 9.9% | 157 | 132 | $97K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 1,159 | 801 | $77K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 1,461 | 1,451 | $46K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 852 | 852 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,052 | 1,051 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 447 | 306 | $30K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 1,350 | 1,330 | $27K |
| D0274 | Bitewings - four radiographic images | 2.7% | 1,684 | 1,668 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 3,033 | 2,964 | $24K |
10 more codes
| D2394 | 2.3% | 196 | $22K | |
| D1206 | Topical application of fluoride varnish | 2.0% | 1,582 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 4,103 | $19K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 187 | $15K |
| D2335 | 1.5% | 127 | $14K | |
| D2332 | 1.0% | 105 | $10K | |
| D2160 | <1% | 101 | $8K | |
| D2161 | <1% | 34 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 56 | $3K |
| D9110 | <1% | 12 | $504.00 |
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 officialGIRALT, ENRIQUE (OWNER)