Dental
Passaic Family Dental L.L.C.
Passaic Family Dental L.L.C. was paid $105K by Medicaid between Jan 2018 and Mar 2023, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 14% of everything it billed.
33Billing provider infoPASSAIC FAMILY DENTAL L.L.C.
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1912176553assigned 02/28/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims13,958
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#294 of 790
Median peer was paid$43K
This provider vs. median2.5×
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 | 2,987 | $30K | |
| 2019 | 3,228 | $31K | |
| 2020 | 443 | $3K | |
| 2021 | 2,270 | $15K | |
| 2022 | 3,795 | $20K | |
| 2023 | 1,235 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,108 | 1,092 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 977 | 964 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,474 | 1,462 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 2,269 | 2,247 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 2,893 | 1,703 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,251 | 1,234 | $12K |
| D1110 | Prophylaxis - adult | 9.7% | 1,067 | 1,059 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 1,813 | 1,785 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 178 | 72 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 83 | 52 | $3K |
| D0272 | Bitewings - two radiographic images | 2.3% | 765 | 760 | $2K |
| D4355 | <1% | 39 | 38 | $495.00 |
2 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 officialGUERRERO, ESTELA (OWNER)