Dental
Supreme Dental Associates, LLC
Supreme Dental Associates, LLC was paid $874K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoSUPREME DENTAL ASSOCIATES, LLC
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1386795409assigned 01/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$874K
24GClaims59,308
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#79 of 790
Median peer was paid$43K
This provider vs. median21×
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 | 10,966 | $177K | |
| 2019 | 11,616 | $179K | |
| 2020 | 4,542 | $59K | |
| 2021 | 4,829 | $84K | |
| 2022 | 11,297 | $148K | |
| 2023 | 8,981 | $117K | |
| 2024incomplete | 7,077 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 6,336 | 6,269 | $155K |
| D1110 | Prophylaxis - adult | 11% | 4,670 | 4,609 | $92K |
| D2750 | 10% | 232 | 170 | $92K | |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 3,543 | 3,516 | $76K |
| D1351 | Sealant - per tooth | 7.4% | 5,140 | 838 | $64K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 15,118 | 7,541 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 1,154 | 652 | $46K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 1,051 | 641 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 4,609 | 4,541 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 1,466 | 1,445 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 8,483 | 8,130 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 940 | 940 | $28K |
14 more codes
| D4341 | 2.5% | 499 | $22K | |
| D9920 | 2.1% | 1,245 | $19K | |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 845 | $17K |
| D2140 | 1.5% | 363 | $13K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 259 | $12K |
| D2160 | 1.1% | 189 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 175 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 1,191 | $6K |
| D2954 | <1% | 38 | $3K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 46 | $2K |
| D0330 | Panoramic radiographic image | <1% | 810 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 143 | $656.25 |
| D2950 | <1% | 18 | $486.00 | |
| D1999 | 0% | 745 | $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 officialOSUALA, BEDES (OWNER ADMINISTRATOR)