Dental
Eastern Dental of Lacey, LLC
Eastern Dental of Lacey, LLC was paid $209K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoEASTERN DENTAL OF LACEY, LLC
FORKED RIVER, NJ 08731
FORKED RIVER, NJ 08731
33aNPI1689722787assigned 01/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$209K
24GClaims14,535
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#217 of 790
Median peer was paid$43K
This provider vs. median4.9×
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 | 740 | $16K | |
| 2019 | 854 | $20K | |
| 2020 | 1,616 | $19K | |
| 2021 | 2,927 | $34K | |
| 2022 | 2,831 | $39K | |
| 2023 | 3,364 | $47K | |
| 2024incomplete | 2,203 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,872 | 1,853 | $60K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 928 | 922 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,726 | 1,716 | $30K |
| D0140 | Limited oral evaluation - problem focused | 8.6% | 616 | 581 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 1,177 | 1,165 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 384 | 383 | $12K |
| D1206 | Topical application of fluoride varnish | 4.5% | 484 | 481 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 2,410 | 2,345 | $9K |
| D0274 | Bitewings - four radiographic images | 4.2% | 1,129 | 1,120 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 2,090 | 1,697 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 63 | 40 | $3K |
| D0180 | <1% | 39 | 39 | $2K |
5 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 officialDUBMAN, ANDREW (DIRECTOR)