Dental
Salazar Dental LLC
Salazar Dental LLC was paid $49K by Medicaid between Jan 2018 and Jul 2020, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoSALAZAR DENTAL LLC
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
33aNPI1598045379assigned 08/24/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$49K
24GClaims2,996
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#381 of 790
Median peer was paid$43K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 2,016 | $35K | |
| 2019 | 767 | $11K | |
| 2020 | 213 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 787 | 785 | $12K |
| D1110 | Prophylaxis - adult | 20% | 577 | 577 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 189 | 113 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 141 | 104 | $5K |
| D2750 | 7.2% | 14 | 12 | $4K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 112 | 112 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 168 | 168 | $2K |
| D1206 | Topical application of fluoride varnish | 3.7% | 120 | 120 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 470 | 441 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 63 | 63 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 238 | 228 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 62 | 62 | $620.00 |
3 more codes
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 officialSALAZAR, MARIA (CEO)