Dental
Jersey Garden Dental PA
Jersey Garden Dental PA was paid $17K by Medicaid between Jan 2018 and Oct 2021, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoJERSEY GARDEN DENTAL PA
ELIZABETH, NJ 07201
ELIZABETH, NJ 07201
33aNPI1790907913assigned 05/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims4,278
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#495 of 790
Median peer was paid$43K
This provider vs. median0.4×
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 | 422 | $4K | |
| 2019 | 3,098 | $11K | |
| 2020 | 584 | $2K | |
| 2021 | 174 | $267.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 919 | 918 | $5K |
| D1110 | Prophylaxis - adult | 21% | 463 | 462 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 758 | 757 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 106 | 106 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 202 | 202 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 612 | 596 | $984.00 |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 250 | 250 | $980.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 74 | 27 | $832.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 47 | 47 | $811.00 |
| D1351 | Sealant - per tooth | 3.8% | 540 | 43 | $642.00 |
| D0274 | Bitewings - four radiographic images | 2.9% | 165 | 165 | $495.00 |
| D0272 | Bitewings - two radiographic images | 2.0% | 142 | 142 | $344.00 |
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 officialPOLAY, PROLAY (OWNER)