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

Crystal Smiles, LLC

Crystal Smiles, LLC was paid $900K by Medicaid between Jul 2018 and Nov 2024, across 25 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 22% of everything it billed.

33Billing provider infoCRYSTAL SMILES, LLC
EAST BRUNSWICK, NJ 08816
33aNPI1609352012assigned 07/18/2018
33bProvider typeDentist
28Total paid$900K
24GClaims52,750
24DCodes billed25
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#63 of 674
Median peer was paid$27K
This provider vs. median34×

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$20K$40K2018201920202021202220232024
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
20182,956$105K
20193,482$90K
20202,600$66K
20214,211$99K
202210,877$130K
202315,569$205K
2024incomplete13,055$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 22% 4,089 1,407 $198K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 5,016 4,980 $134K
D2335 11% 1,457 608 $100K
D1110 Prophylaxis - adult 10% 4,296 4,269 $93K
D0230 Intraoral - periapical each additional radiographic image 7.9% 20,037 4,804 $71K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.8% 1,457 520 $61K
D2332 4.8% 753 400 $43K
D2750 3.5% 97 80 $31K
D0220 Intraoral - periapical first radiographic image 2.4% 5,367 5,292 $21K
D1120 Dental cleaning, childProphylaxis - child 2.3% 992 986 $21K
D2394 2.1% 328 187 $19K
D1206 Topical application of fluoride varnish 2.1% 1,247 1,240 $19K
13 more codes
D0274 Bitewings - four radiographic images 1.8% 2,191 $17K
D1208 Topical application of fluoride, excluding varnish 1.3% 1,431 $12K
D0150 Comprehensive oral evaluation - new or established patient 1.2% 391 $11K
D0210 Intraoral - complete series of radiographic images 1.0% 301 $9K
D4341 <1% 208 $9K
D0272 Bitewings - two radiographic images <1% 2,118 $9K
D0140 Limited oral evaluation - problem focused <1% 313 $7K
D1351 Sealant - per tooth <1% 386 $4K
D2330 <1% 106 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 92 $3K
D2160 <1% 39 $2K
D2161 <1% 22 $1K
D2950 <1% 16 $810.00

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 officialDARJI, TEJAL (DENTIST)