Dental
RJ Dental, LLC
RJ Dental, LLC was paid $26K by Medicaid between Jan 2018 and Dec 2019, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoRJ DENTAL, LLC
ROSELLE, NJ 07203
ROSELLE, NJ 07203
33aNPI1811220213assigned 09/16/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims4,846
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#455 of 790
Median peer was paid$43K
This provider vs. median0.6×
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 | 2,123 | $16K | |
| 2019 | 2,723 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 910 | 910 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 688 | 688 | $5K |
| D1351 | Sealant - per tooth | 14% | 460 | 76 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 142 | 70 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 656 | 656 | $2K |
| D0330 | Panoramic radiographic image | 4.6% | 115 | 115 | $1K |
| D0274 | Bitewings - four radiographic images | 4.5% | 355 | 355 | $1K |
| D1110 | Prophylaxis - adult | 4.4% | 247 | 247 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 634 | 342 | $737.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 499 | 493 | $703.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 73 | 73 | $525.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 51 | 45 | $241.30 |
1 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $176.00 |
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 officialBUFFONG, RICHARD (OWNER)