Dental
Grove Street Care Dental INC.
Grove Street Care Dental INC. was paid $100K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoGROVE STREET CARE DENTAL INC.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
33aNPI1376719450assigned 05/07/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$100K
24GClaims9,661
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#299 of 790
Median peer was paid$43K
This provider vs. median2.4×
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 | 1,923 | $22K | |
| 2019 | 1,216 | $13K | |
| 2020 | 865 | $12K | |
| 2021 | 1,317 | $16K | |
| 2022 | 2,099 | $17K | |
| 2023 | 1,150 | $10K | |
| 2024incomplete | 1,091 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,788 | 1,773 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,254 | 1,243 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 487 | 482 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 8.7% | 344 | 339 | $9K |
| D0274 | Bitewings - four radiographic images | 7.4% | 1,019 | 1,011 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,952 | 1,877 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 1,666 | 1,576 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 400 | 396 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 76 | 49 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 125 | 120 | $2K |
| D0191 | 1.5% | 247 | 233 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 62 | 62 | $868.00 |
6 more codes
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 officialLOPEZ, SAMUEL (PRESIDENT)