Clinic
Roselle Commons Dental Center, PC
Roselle Commons Dental Center, PC was paid $180K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoROSELLE COMMONS DENTAL CENTER, PC
ROSELLE, NJ 07203
ROSELLE, NJ 07203
33aNPI1396914396assigned 02/22/2008
33bProvider typeDental Clinic/Center
28Total paid$180K
24GClaims16,336
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#19 of 70
Median peer was paid$50K
This provider vs. median3.6×
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 | 3,015 | $37K | |
| 2019 | 3,389 | $35K | |
| 2020 | 2,012 | $22K | |
| 2021 | 1,671 | $26K | |
| 2022 | 2,381 | $26K | |
| 2023 | 2,394 | $19K | |
| 2024incomplete | 1,474 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 3,024 | 2,980 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,914 | 2,870 | $46K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 1,108 | 1,107 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 4,306 | 2,056 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 2,962 | 2,850 | $10K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 587 | 578 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 602 | 601 | $9K |
| D0274 | Bitewings - four radiographic images | 1.8% | 428 | 423 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 251 | 251 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 31 | 15 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 36 | 16 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 60 | 60 | $1K |
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 officialSHALMAN, SIMON (OFFICE MANAGER)