Dental
Eastern Dental of Passaic Essex, LLC
Eastern Dental of Passaic Essex, LLC was paid $10K by Medicaid between Jul 2018 and Nov 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoEASTERN DENTAL OF PASSAIC ESSEX, LLC
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1902954001assigned 01/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims13,705
24DCodes billed15
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#532 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 142 | $0.00 | |
| 2019 | 1,064 | $9K | |
| 2020 | 1,861 | $1K | |
| 2021 | 3,227 | $0.00 | |
| 2022 | 3,946 | $0.00 | |
| 2023 | 2,993 | $0.00 | |
| 2024incomplete | 472 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 1,288 | 1,287 | $2K |
| D1110 | Prophylaxis - adult | 21% | 1,517 | 1,511 | $2K |
| D0274 | Bitewings - four radiographic images | 14% | 1,430 | 1,424 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 2,525 | 2,486 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 2,199 | 2,085 | $1K |
| D0330 | Panoramic radiographic image | 11% | 799 | 794 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 1,754 | 1,750 | $546.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 215 | 214 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 216 | 167 | $0.00 |
| D1999 | 0% | 821 | 727 | $0.00 | |
| D2999 | 0% | 16 | 15 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 376 | 373 | $0.00 |
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 officialANTONECCHIA, BENEDICT (DIRECTOR)