Dental
Irvington Family Dental LLC
Irvington Family Dental LLC was paid $50K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoIRVINGTON FAMILY DENTAL LLC
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1932215969assigned 08/22/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$50K
24GClaims4,178
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#379 of 790
Median peer was paid$43K
This provider vs. median1.2×
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 | 1,577 | $20K | |
| 2019 | 975 | $11K | |
| 2020 | 577 | $8K | |
| 2021 | 281 | $3K | |
| 2022 | 364 | $4K | |
| 2023 | 328 | $3K | |
| 2024incomplete | 76 | $680.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 881 | 879 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 696 | 695 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 303 | 303 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 178 | 178 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 924 | 685 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 794 | 792 | $3K |
| D0274 | Bitewings - four radiographic images | 5.1% | 290 | 290 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 58 | 58 | $812.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 42 | 42 | $420.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $168.00 |
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 officialROSEN, LON (OWNER)