Dental
Addiego Family Dental LLC
Addiego Family Dental LLC was paid $296K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoADDIEGO FAMILY DENTAL LLC
BAYVILLE, NJ 08721
BAYVILLE, NJ 08721
33aNPI1821412800assigned 02/11/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$296K
24GClaims8,239
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#165 of 790
Median peer was paid$43K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2018 | 1,938 | $78K | |
| 2019 | 998 | $37K | |
| 2020 | 656 | $22K | |
| 2021 | 983 | $34K | |
| 2022 | 1,192 | $40K | |
| 2023 | 1,314 | $45K | |
| 2024incomplete | 1,158 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 2,164 | 2,154 | $99K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,961 | 2,952 | $78K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 657 | 655 | $31K |
| D1206 | Topical application of fluoride varnish | 10% | 923 | 922 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 342 | 232 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 189 | 128 | $12K |
| D2750 | 3.5% | 18 | 14 | $10K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 700 | 699 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 150 | 150 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 38 | 38 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 27 | 26 | $1K |
| D2394 | <1% | 13 | 12 | $1K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 57 | $299.25 |
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 officialBRAMLETTE, JESSICA (OWNER)