The Smile Spa of North Jersey,llc

The Smile Spa of North Jersey,llc was paid $2K by Medicaid between Jan 2018 and Jan 2018, across 7 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 32% of everything it billed.

33Billing provider infoTHE SMILE SPA OF NORTH JERSEY,LLC
MIDLAND PARK, NJ 07432

33aNPI1710151089assigned 04/17/2008

33bProvider typePeriodontist

28Total paid$2K

24GClaims166

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other Periodontist providers in New Jersey

Rank by total paid#20 of 26

Median peer was paid$12K

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
2018	166	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	32%	34	19	$714.00
D0210	Intraoral - complete series of radiographic images	18%	13	13	$409.50
D1110	Prophylaxis - adult	17%	18	17	$378.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	14	13	$294.00
D0230	Intraoral - periapical each additional radiographic image	12%	26	16	$277.20
D0220	Intraoral - periapical first radiographic image	6.0%	32	19	$134.40
D0350		1.7%	29	22	$37.50

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 officialROSENBLATT, DEBRA (PROPRIETER)