Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Smilist Dental of New Jersey LLC

Smilist Dental of New Jersey LLC was paid $10.44M by Medicaid between Oct 2021 and Dec 2024, across 42 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 32% of everything it billed.

33Billing provider infoSMILIST DENTAL OF NEW JERSEY LLC
GARWOOD, NJ 07027
33aNPI1376053389assigned 10/04/2017
33bProvider typeDentist
28Total paid$10.44M
24GClaims309,418
24DCodes billed42
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#5 of 674
Median peer was paid$27K
This provider vs. median389×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2021729$39K
202299,467$3.22M
2023118,911$4.02M
2024incomplete90,311$3.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2751 Crown - porcelain fused to predominantly base metal 32% 6,718 4,925 $3.36M
D0210 Intraoral - complete series of radiographic images 10% 26,753 26,289 $1.08M
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 7.8% 10,000 3,591 $818K
D7240 Removal of impacted tooth - completely bony 7.2% 3,239 957 $750K
D1110 Prophylaxis - adult 6.5% 27,694 26,782 $683K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 6.5% 9,183 2,593 $675K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.1% 23,239 22,540 $638K
D9222 3.1% 3,148 2,592 $321K
D2740 Crown - porcelain/ceramic 3.0% 656 472 $310K
D0150 Comprehensive oral evaluation - new or established patient 2.7% 8,568 8,197 $280K
D0140 Limited oral evaluation - problem focused 2.1% 9,366 8,851 $216K
D7250 2.0% 2,405 829 $205K
30 more codes
D3330 Endodontic therapy, molar tooth (excluding final restoration) 1.8% 418 $187K
D9310 1.6% 7,834 $165K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.5% 2,975 $158K
D2954 <1% 1,424 $91K
D0220 Intraoral - periapical first radiographic image <1% 30,373 $74K
D1120 Dental cleaning, child <1% 3,185 $70K
D0230 Intraoral - periapical each additional radiographic image <1% 98,969 $62K
D7230 <1% 246 $53K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 972 $43K
D2950 <1% 673 $43K
D0274 Bitewings - four radiographic images <1% 19,428 $40K
D1351 Sealant - per tooth <1% 2,224 $34K
D7261 <1% 412 $17K
D7140 Extraction, erupted tooth or exposed root <1% 315 $16K
D1206 Topical application of fluoride varnish <1% 1,293 $14K
D8670 Periodic orthodontic treatment visit <1% 259 $10K
D0330 Panoramic radiographic image <1% 912 $8K
D3348 <1% 19 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 83 $5K
D0270 <1% 565 $3K
D9920 <1% 142 $2K
D1208 Topical application of fluoride, excluding varnish <1% 2,258 $2K
D3320 <1% 22 $2K
D4341 <1% 54 $2K
D4355 <1% 14 $748.00
D0272 Bitewings - two radiographic images <1% 31 $196.00
D9612 <1% 3,255 $6.00
D0340 0% 16 $0.00
D0601 0% 40 $0.00
D0603 0% 38 $0.00

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 officialKHORSANDI, JAY (MEMBER)
Same official

Other billing entities under KHORSANDI, JAY

Full network →
ProviderLocationPaid
The Smilist Dental PLLCRockville Centre, NY$6.16M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.