Clinic
Elizabeth Avenue Dentistry, PC
Elizabeth Avenue Dentistry, PC was paid $109K by Medicaid between Jun 2020 and Nov 2024, across 9 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 51% of everything it billed.
33Billing provider infoELIZABETH AVENUE DENTISTRY, PC
ELIZABETH, NJ 07206
ELIZABETH, NJ 07206
33aNPI1851781561assigned 02/02/2015
33bProvider typeDental Clinic/Center
28Total paid$109K
24GClaims3,033
24DCodes billed9
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Jersey
Rank by total paid#30 of 70
Median peer was paid$50K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2020 | 119 | $9K | |
| 2021 | 172 | $3K | |
| 2022 | 395 | $8K | |
| 2023 | 1,177 | $53K | |
| 2024incomplete | 1,170 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 51% | 145 | 93 | $56K |
| D1110 | Prophylaxis - adult | 17% | 925 | 916 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 636 | 630 | $13K |
| D0330 | Panoramic radiographic image | 6.4% | 271 | 268 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 273 | 270 | $6K |
| D2954 | 3.7% | 54 | 41 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 596 | 473 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 101 | 101 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 32 | 32 | $960.00 |
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 officialKHAYLOMSKY, LENA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Tower Plaza Dentistry PC | Weehawken, NJ | $473K |
| Broadway Dental Group, PC | Newark, NJ | $170K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.