Clinic
Southjerseydentistry LLC
Southjerseydentistry LLC was paid $150K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoSOUTHJERSEYDENTISTRY LLC
BERLIN, NJ 08009
BERLIN, NJ 08009
33aNPI1821491317assigned 09/29/2014
33bProvider typeDental Clinic/Center
28Total paid$150K
24GClaims29,075
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#25 of 70
Median peer was paid$50K
This provider vs. median3.0×
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 | 933 | $4K | |
| 2019 | 2,334 | $16K | |
| 2020 | 3,929 | $21K | |
| 2021 | 5,049 | $25K | |
| 2022 | 6,171 | $27K | |
| 2023 | 6,182 | $32K | |
| 2024incomplete | 4,477 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 3,346 | 3,310 | $34K |
| D1110 | Prophylaxis - adult | 18% | 2,834 | 2,806 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 851 | 842 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 8.2% | 1,047 | 616 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 7,042 | 6,105 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 2,938 | 2,907 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 467 | 302 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 4,675 | 4,209 | $6K |
| D0274 | Bitewings - four radiographic images | 3.8% | 2,106 | 2,076 | $6K |
| D0330 | Panoramic radiographic image | 3.1% | 1,370 | 1,358 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 379 | 379 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 180 | 145 | $3K |
4 more codes
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 officialSHAH, KOSHA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| K J Shah DDS, INC. | Port Hueneme, CA | $1.48M |
| GP Dentistry Fairfield, LLC | Fairfield, CT | $122K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.