Dental
An, Jae
An, Jae was paid $252K by Medicaid between Jun 2021 and Nov 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoAN, JAE
ELIZABETH, NJ 07201
ELIZABETH, NJ 07201
33aNPI1760949671assigned 02/27/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$252K
24GClaims9,014
24DCodes billed18
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#185 of 790
Median peer was paid$43K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2021 | 513 | $15K | |
| 2022 | 5,481 | $148K | |
| 2023 | 1,777 | $48K | |
| 2024incomplete | 1,243 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,466 | 1,446 | $64K |
| D1206 | Topical application of fluoride varnish | 14% | 1,199 | 1,171 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 448 | 278 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,068 | 1,039 | $25K |
| D0140 | Limited oral evaluation - problem focused | 8.3% | 496 | 488 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 296 | 172 | $15K |
| D2740 | Crown - porcelain/ceramic | 5.5% | 34 | 25 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 251 | 248 | $11K |
| D0274 | Bitewings - four radiographic images | 3.1% | 758 | 736 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,303 | 1,266 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,025 | 978 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 225 | 225 | $6K |
6 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 176 | $4K |
| D0330 | Panoramic radiographic image | 1.4% | 93 | $4K |
| D2950 | <1% | 58 | $2K | |
| D1120 | Dental cleaning, child | <1% | 67 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 21 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 30 | $290.00 |
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.