Clinic
Rutgers School of Dental Medicine
Rutgers School of Dental Medicine was paid $174K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoRUTGERS SCHOOL OF DENTAL MEDICINE
NORTHFIELD, NJ 08225
NORTHFIELD, NJ 08225
33aNPI1407069107assigned 05/08/2007
33bProvider typeDental Clinic/Center
28Total paid$174K
24GClaims4,579
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#20 of 70
Median peer was paid$50K
This provider vs. median3.5×
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 | 491 | $12K | |
| 2019 | 533 | $14K | |
| 2020 | 316 | $9K | |
| 2021 | 343 | $12K | |
| 2022 | 1,148 | $44K | |
| 2023 | 826 | $33K | |
| 2024incomplete | 922 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 1,317 | 1,251 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 1,521 | 1,438 | $53K |
| D1206 | Topical application of fluoride varnish | 9.9% | 199 | 168 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 251 | 237 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 229 | 192 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 70 | 52 | $7K |
| D0274 | Bitewings - four radiographic images | 3.5% | 244 | 234 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 478 | 468 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 38 | 26 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 26 | 26 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 56 | 56 | $978.65 |
| D0140 | Limited oral evaluation - problem focused | <1% | 137 | 71 | $756.00 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 13 | $200.20 |
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 officialBOLGER, DAVID (CODE DIRECTOR)