Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NORTH BERGEN › SMILE DENTAL CENTER OF N.J., PA

SMILE DENTAL CENTER OF N.J., PA

NPI: 1629290663 · NORTH BERGEN, NJ 07047 · General Practice Dentistry · NPI assigned 05/02/2007

$8K
Total Medicaid Paid
573
Total Claims
573
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSHAH, MAHESHKUMAR (OWNER)
NPI Enumeration Date05/02/2007

Related Entities

Other providers sharing the same authorized official: SHAH, MAHESHKUMAR

ProviderCityStateTotal Paid
MAHESHKUMAR K. SHAH NEW YORK NY $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 268 $4K
2019 168 $3K
2020 137 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 367 367 $6K
D1110 Prophylaxis - adult 135 135 $2K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $299.00
D0272 Bitewings - two radiographic images 31 31 $155.00
D1208 Topical application of fluoride, excluding varnish 14 14 $140.00
D0220 Intraoral - periapical first radiographic image 13 13 $48.75