Dental
OIG excluded
Girardy, Matthew
Girardy, Matthew was paid $31K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoGIRARDY, MATTHEW
TOMS RIVER, NJ 08753
TOMS RIVER, NJ 08753
33aNPI1831278118assigned 11/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$31K
24GClaims1,128
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#429 of 790
Median peer was paid$43K
This provider vs. median0.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (05/20/2019).
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 | 1,128 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 238 | 238 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 219 | 219 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 74 | 38 | $5K |
| D0140 | Limited oral evaluation - problem focused | 10% | 71 | 66 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 7.6% | 53 | 53 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 272 | 266 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 40 | 40 | $1K |
| D0330 | Panoramic radiographic image | 1.9% | 15 | 15 | $600.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 110 | 109 | $459.00 |
| D0274 | Bitewings - four radiographic images | <1% | 24 | 24 | $288.00 |
| D0270 | <1% | 12 | 12 | $60.00 |
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.