Clinic
Riverdale Family Dental, PA
Riverdale Family Dental, PA was paid $8K by Medicaid between Mar 2019 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoRIVERDALE FAMILY DENTAL, PA
RIVERDALE, NJ 07457
RIVERDALE, NJ 07457
33aNPI1649791161assigned 07/06/2017
33bProvider typeDental Clinic/Center
28Total paid$8K
24GClaims9,638
24DCodes billed13
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#46 of 70
Median peer was paid$50K
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 | |
|---|---|---|---|
| 2019 | 383 | $8K | |
| 2020 | 1,048 | $780.00 | |
| 2021 | 1,794 | $0.00 | |
| 2022 | 2,574 | $0.00 | |
| 2023 | 2,489 | $0.00 | |
| 2024incomplete | 1,350 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 1,502 | 1,493 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 842 | 839 | $2K |
| D0274 | Bitewings - four radiographic images | 11% | 768 | 764 | $912.00 |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 835 | 832 | $630.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 1,892 | 1,885 | $520.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.0% | 230 | 180 | $504.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 712 | 709 | $420.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 664 | 634 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 470 | 466 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 916 | 896 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 70 | 63 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 725 | 552 | $0.00 |
1 more codes
| D2750 | 0% | 12 | $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 officialHWANG, SOOKIE (PRESIDENT)