Pena Pujals, Carmen

Pena Pujals, Carmen was paid $8K by Medicaid between Jan 2018 and May 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoPENA PUJALS, CARMEN
CLIFFSIDE PARK, NJ 07010

33aNPI1871750166assigned 05/22/2008

33bProvider typeDentist

28Total paid$8K

24GClaims482

24DCodes billed11

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#466 of 674

Median peer was paid$27K

This provider vs. median0.3×

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	134	$886.39
2019	13	$40.62
2020	261	$5K
2021	74	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	87	87	$3K
D0220	Intraoral - periapical first radiographic image	18%	181	178	$1K
D0274	Bitewings - four radiographic images	15%	64	64	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.4%	18	12	$631.49
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.0%	33	33	$447.01
D0150	Comprehensive oral evaluation - new or established patient	4.4%	15	15	$333.50
D1120	Dental cleaning, childProphylaxis - child	3.1%	14	14	$234.86
D0330	Panoramic radiographic image	2.3%	12	12	$169.50
D1208	Topical application of fluoride, excluding varnish	<1%	13	13	$63.23
D0140	Limited oral evaluation - problem focused	<1%	13	12	$48.63
D1330		0%	32	32	$0.00

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.