Dental
Main Street Dental - Deptford
Main Street Dental - Deptford was paid $0.00 by Medicaid between Jun 2022 and Nov 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 0% of everything it billed.
33Billing provider infoMAIN STREET DENTAL - DEPTFORD
DEPTFORD, NJ 08096
DEPTFORD, NJ 08096
33aNPI1629508684assigned 06/13/2017
33bProvider typeDentist
28Total paid$0.00
24GClaims1,246
24DCodes billed10
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#653 of 674
Median peer was paid$27K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 220 | $0.00 | |
| 2023 | 600 | $0.00 | |
| 2024incomplete | 426 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 0% | 62 | 62 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 200 | 123 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 270 | 262 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 74 | 67 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 175 | 170 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 48 | 40 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 19 | 13 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 316 | 275 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 59 | 57 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 23 | 15 | $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 officialDUNOFF, KEITH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Advanced Dental Care - Toms River | Toms River, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.