Clinic
Liza Dental Management INC.
Liza Dental Management INC. was paid $276.25 by Medicaid between Sep 2020 and Mar 2021, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 90% of everything it billed.
33Billing provider infoLIZA DENTAL MANAGEMENT INC.
HILLSIDE, NJ 07205
HILLSIDE, NJ 07205
33aNPI1356489116assigned 02/02/2007
33bProvider typeDental Clinic/Center
28Total paid$276.25
24GClaims30
24DCodes billed2
24AFirst – last monthSep 2020 – Mar 2021
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#59 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 | |
|---|---|---|---|
| 2020 | 13 | $26.25 | |
| 2021 | 17 | $250.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 90% | 17 | 17 | $250.00 |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 13 | 12 | $26.25 |
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 officialYERMOLENKO, ALEXANDER (PRESIDENT)