Managed care
Kindersmile Community Oral Health Center
Kindersmile Community Oral Health Center was paid $756K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoKINDERSMILE COMMUNITY ORAL HEALTH CENTER
BLOOMFIELD, NJ 07003
BLOOMFIELD, NJ 07003
33aNPI1497106090assigned 06/24/2016
33bProvider typeHealth Maintenance Organization
28Total paid$756K
24GClaims83,643
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in New Jersey
Rank by total paid#6 of 10
Median peer was paid$756K
This provider vs. median1.0×
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 | 6,706 | $93K | |
| 2019 | 7,375 | $102K | |
| 2020 | 5,871 | $68K | |
| 2021 | 10,342 | $89K | |
| 2022 | 16,653 | $114K | |
| 2023 | 18,900 | $108K | |
| 2024incomplete | 17,796 | $182K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 9,617 | 9,137 | $160K |
| D1206 | Topical application of fluoride varnish | 15% | 7,432 | 6,932 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,000 | 6,673 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 2,227 | 1,400 | $77K |
| D1351 | Sealant - per tooth | 7.8% | 5,620 | 1,111 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 2,366 | 2,224 | $39K |
| D0601 | 4.4% | 4,611 | 4,344 | $33K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 1,179 | 803 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 1,019 | 743 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 2,393 | 2,391 | $25K |
| D0602 | 2.2% | 2,038 | 1,960 | $17K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 4,185 | 3,938 | $14K |
18 more codes
| D0140 | Limited oral evaluation - problem focused | 1.5% | 833 | $11K |
| D0272 | Bitewings - two radiographic images | 1.5% | 2,490 | $11K |
| D0603 | 1.3% | 1,560 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 3,472 | $9K |
| D9920 | 1.0% | 585 | $8K | |
| D1110 | Prophylaxis - adult | <1% | 421 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 264 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 279 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 24 | $826.00 |
| D9110 | <1% | 31 | $310.50 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $165.00 |
| D1999 | 0% | 12,864 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 16 | $0.00 |
| D0191 | 0% | 46 | $0.00 | |
| D9986 | 0% | 34 | $0.00 | |
| D1330 | 0% | 5,674 | $0.00 | |
| D1310 | 0% | 4,905 | $0.00 | |
| D1355 | 0% | 446 | $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 officialMCGRATH, NICOLE (FOUNDER)