Clinic
Children's Dental Surgery Center of Jackson LLC
Children's Dental Surgery Center of Jackson LLC was paid $4.44M by Medicaid between Jun 2022 and Mar 2024, across 4 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 83% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
JACKSON, NJ 08527
JACKSON, NJ 08527
33aNPI1710552278assigned 05/26/2021
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$4.44M
24GClaims3,023
24DCodes billed4
24AFirst – last monthJun 2022 – Mar 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in New Jersey
Rank by total paid#7 of 106
Median peer was paid$268K
This provider vs. median17×
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 | 529 | $686K | |
| 2023 | 2,085 | $3.07M | |
| 2024incomplete | 409 | $685K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 83% | 2,184 | 1,814 | $3.67M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 421 | 318 | $520K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 406 | 270 | $250K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 0% | 12 | 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 officialLE, VAN PHI (CREDENTIALING CONTRACTS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| NJ Dentistry for Children, P.A. | Lakewood, NJ | $22.01M |
| Children's Dental Health of Delaware - Wilmington, PA | Wilmington, DE | $7.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.