BROADWAY ORAL SURGERY, LLC

NPI: 1427734680 · BAYONNE, NJ 07002 · Dentist · NPI assigned 06/23/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SKOLNICK, MICHAEL controls 18+ related entities in our dataset. Read more

$20K

Total Medicaid Paid

263

Total Claims

217

Beneficiaries

Codes Billed

2024-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	SKOLNICK, MICHAEL (CEO)
NPI Enumeration Date	06/23/2023

Other providers sharing the same authorized official: SKOLNICK, MICHAEL

Provider	City	State	Total Paid
CHILDSMILES, PA	NEWARK	NJ	$28.97M
SKOLNICK DENTAL ASSOCIATES SPEC LLC	ELIZABETH	NJ	$22.10M
CHILD SMILES SPEC LLC	NEWARK	NJ	$19.97M
ORANGE ST DENTAL ASSOCIATES LLC	NEWARK	NJ	$12.81M
SKOLNICK DENTAL ASSOCIATES INC	ELIZABETH	NJ	$5.45M
PEARLY WHITES PA	BERKELEY HEIGHTS	NJ	$5.39M
RAILROAD PLAZA DENTAL ASSOCIATES, LLC DBA PEARLY WHITES	WHIPPANY	NJ	$3.19M
OCEAN AVE DENTAL, LLC	JERSEY CITY	NJ	$2.72M
WASHINGTON ST PEDIATRICS LLC	NEWARK	NJ	$1.93M
KEARNY AVE DENTAL LLC	KEARNY	NJ	$1.88M
BLOOMFIELD AVE DENTAL, LLC	NEWARK	NJ	$1.02M
OCEAN AVE DENTAL SPEC, LLC	JERSEY CITY	NJ	$205K
KEARNY AVE DENTAL SPEC LLC	KEARNY	NJ	$183K
WASHINGTON ST PEDIATRICS LLC	NEWARK	NJ	$179K
RAILROAD PLAZA DENTAL ASSOCIATES SPEC LLC	WHIPPANY	NJ	$94K
BLOOMFIELD AVE DENTAL SPEC, LLC	NEWARK	NJ	$72K
ROSS M. WEZMAR, DDS, PC	READING	PA	$28K
SCS, LLC	PRINCE FREDERICK	MD	$204.63

Year	Claims	Total Paid
2024	263	$20K

Code	Description	Claims	Beneficiaries	Total Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	52	26	$8K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	69	50	$5K
D9222		51	50	$5K
D0330	Panoramic radiographic image	25	25	$1K
D9310		66	66	$1K