Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dental Specialties of Toms River

Dental Specialties of Toms River was paid $370K by Medicaid between Jan 2018 and Nov 2018, across 26 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 16% of everything it billed.

33Billing provider infoDENTAL SPECIALTIES OF TOMS RIVER
TOMS RIVER, NJ 08753
33aNPI1548246887assigned 12/19/2005
33bProvider typeDentist
28Total paid$370K
24GClaims8,010
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#118 of 674
Median peer was paid$27K
This provider vs. median14×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20188,010$370K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 16% 702 245 $60K
D0140 Limited oral evaluation - problem focused 13% 1,044 884 $47K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 521 268 $40K
D1110 Prophylaxis - adult 8.9% 733 733 $33K
D2954 8.7% 244 187 $32K
D0210 Intraoral - complete series of radiographic images 7.0% 499 497 $26K
D2751 Crown - porcelain fused to predominantly base metal 5.1% 34 28 $19K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.7% 701 701 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.9% 266 150 $15K
D2335 2.8% 106 56 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.6% 109 72 $10K
D2332 2.5% 114 68 $9K
14 more codes
D0220 Intraoral - periapical first radiographic image 2.5% 1,086 $9K
D0150 Comprehensive oral evaluation - new or established patient 2.1% 313 $8K
D4341 1.8% 76 $7K
D1120 Dental cleaning, child 1.2% 96 $4K
D0330 Panoramic radiographic image 1.0% 80 $4K
D2330 <1% 68 $4K
D0274 Bitewings - four radiographic images <1% 222 $4K
D1208 Topical application of fluoride, excluding varnish <1% 116 $3K
D0270 <1% 308 $2K
D2331 <1% 36 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 489 $2K
D4910 <1% 17 $2K
D2950 <1% 17 $1K
D1206 Topical application of fluoride varnish <1% 13 $406.25

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 officialSHAPIRO, PAUL (OWNER)