Supplier
Moorestown Smile Center LLC
Moorestown Smile Center LLC was paid $6K by Medicaid between Mar 2018 and Jan 2019, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoMOORESTOWN SMILE CENTER LLC
MOORESTOWN, NJ 08057
MOORESTOWN, NJ 08057
33aNPI1386187714assigned 12/03/2016
33bProvider typeCustomized Equipment (DME)
28Total paid$6K
24GClaims279
24DCodes billed4
24AFirst – last monthMar 2018 – Jan 2019
Compared with peers
Next to other Customized Equipment (DME) providers in New Jersey
Rank by total paid#9 of 12
Median peer was paid$96K
This provider vs. median0.1×
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 | 263 | $6K | |
| 2019 | 16 | $320.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 113 | 113 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 30% | 63 | 63 | $2K |
| D1110 | Prophylaxis - adult | 23% | 71 | 71 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 32 | 32 | $640.00 |
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 officialKHAN, ALIYA (OWNER)