Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › JACKSON › CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC

CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC

NPI: 1710552278 · JACKSON, NJ 08527 · Ambulatory Surgical Clinic/Center · NPI assigned 05/26/2021

$4.44M
Total Medicaid Paid
3,023
Total Claims
2,414
Beneficiaries
4
Codes Billed
2022-06
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLE, VAN PHI (CREDENTIALING CONTRACTS MANAGER)
NPI Enumeration Date05/26/2021

Related Entities

Other providers sharing the same authorized official: LE, VAN PHI

ProviderCityStateTotal Paid
NJ DENTISTRY FOR CHILDREN, P.A. LAKEWOOD NJ $22.01M
CHILDREN'S DENTAL HEALTH OF DELAWARE - WILMINGTON, PA WILMINGTON DE $7.98M
SPARK ORTHODONTICS READING PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 529 $686K
2023 2,085 $3.07M
2024 409 $685K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 2,184 1,814 $3.67M
D2930 421 318 $520K
D1120 406 270 $250K
00170 12 12 $0.00