Elbasty Pediatric An Denta Assoc.

Elbasty Pediatric An Denta Assoc. was paid $1K by Medicaid between Aug 2019 and Sep 2021, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 61% of everything it billed.

33Billing provider infoELBASTY PEDIATRIC AN DENTA ASSOC.
HOLMDEL, NJ 07733

33aNPI1487883559assigned 07/09/2009

33bProvider typeDentist

28Total paid$1K

24GClaims256

24DCodes billed6

24AFirst – last monthAug 2019 – Sep 2021

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#577 of 674

Median peer was paid$27K

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
2019	93	$506.00
2020	90	$281.50
2021	73	$488.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	61%	74	74	$782.00
90460	Immunization administration through 18 years of age via any route, first or only component	20%	14	14	$253.00
D0274	Bitewings - four radiographic images	9.9%	39	39	$126.00
D0220	Intraoral - periapical first radiographic image	4.7%	59	59	$60.00
D0230	Intraoral - periapical each additional radiographic image	4.3%	58	58	$55.00
D0330	Panoramic radiographic image	0%	12	12	$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 officialELBASTY, MOHAMED (PRESIDENT)