Dental
Pinnacle Dental Care
Pinnacle Dental Care was paid $127K by Medicaid between Jan 2018 and Nov 2021, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoPINNACLE DENTAL CARE
SEA GIRT, NJ 08750
SEA GIRT, NJ 08750
33aNPI1851746366assigned 05/03/2016
33bProvider typeDentist
28Total paid$127K
24GClaims8,539
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#201 of 674
Median peer was paid$27K
This provider vs. median4.7×
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.
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 | 2,087 | $38K | |
| 2019 | 1,837 | $28K | |
| 2020 | 2,164 | $28K | |
| 2021 | 2,451 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,430 | 1,430 | $31K |
| D1110 | Prophylaxis - adult | 19% | 997 | 997 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 516 | 516 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 1,634 | 1,605 | $9K |
| D0274 | Bitewings - four radiographic images | 6.8% | 666 | 666 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 250 | 250 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 1,337 | 1,326 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 359 | 359 | $7K |
| D1206 | Topical application of fluoride varnish | 4.3% | 361 | 361 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 67 | 43 | $4K |
| D2950 | <1% | 17 | 14 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | 12 | $1K |
3 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 officialDEMARCO, WILLIAM (OWNER)