Dental
Anderson Dental Center Hackensack LLC
Anderson Dental Center Hackensack LLC was paid $4K by Medicaid between Dec 2020 and Nov 2024, across 21 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 77% of everything it billed.
33Billing provider infoANDERSON DENTAL CENTER HACKENSACK LLC
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
33aNPI1558903955assigned 10/17/2019
33bProvider typeDentist
28Total paid$4K
24GClaims14,024
24DCodes billed21
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#515 of 674
Median peer was paid$27K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 54 | $0.00 | |
| 2021 | 2,245 | $0.00 | |
| 2022 | 5,680 | $490.00 | |
| 2023 | 4,323 | $175.00 | |
| 2024incomplete | 1,722 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 77% | 78 | 69 | $3K |
| D8660 | 23% | 107 | 96 | $970.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,456 | 1,419 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 155 | 153 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,287 | 2,250 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 272 | 212 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 168 | 162 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 726 | 715 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 22 | 14 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,295 | 1,280 | $0.00 |
| D2752 | 0% | 47 | 43 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,045 | 990 | $0.00 |
9 more codes
| D0120 | Dental checkup, returning patient | 0% | 1,654 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,187 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,840 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 89 | $0.00 |
| D1330 | 0% | 593 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 804 | $0.00 |
| D0603 | 0% | 12 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 143 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 44 | $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 officialEL-SAMNA, MOHAMMED IBREHIM (PARTNER)