Pearl Smile Dental PC

Pearl Smile Dental PC was paid $900.25 by Medicaid between Jul 2018 and Feb 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.

33Billing provider infoPEARL SMILE DENTAL PC
UNION CITY, NJ 07087

33aNPI1417335985assigned 05/15/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$900.25

24GClaims511

24DCodes billed6

24AFirst – last monthJul 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#690 of 790

Median peer was paid$43K

This provider vs. median0.0×

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	196	$319.25
2019	290	$551.00
2020	25	$30.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	60%	138	138	$540.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	79	79	$103.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	36	13	$96.50
D0230	Intraoral - periapical each additional radiographic image	9.1%	73	72	$81.50
D0220	Intraoral - periapical first radiographic image	8.7%	129	127	$78.75
D0274	Bitewings - four radiographic images	0%	56	55	$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 officialKHALID, RASHID (OWNER)