Perfect Smile Dental Office PC

Perfect Smile Dental Office PC was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 21% of everything it billed.

33Billing provider infoPERFECT SMILE DENTAL OFFICE PC
RED BANK, NJ 07701

33aNPI1932388923assigned 10/26/2007

33bProvider typeDentist

28Total paid$137K

24GClaims15,133

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#190 of 674

Median peer was paid$27K

This provider vs. median5.1×

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	699	$7K
2019	1,380	$20K
2020	2,120	$21K
2021	3,292	$28K
2022	3,147	$24K
2023	2,524	$18K
2024incomplete	1,971	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	21%	630	594	$29K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	2,238	2,216	$20K
D1110	Prophylaxis - adult	14%	1,969	1,946	$20K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	9.3%	491	256	$13K
D0150	Comprehensive oral evaluation - new or established patient	8.7%	1,001	994	$12K
D0210	Intraoral - complete series of radiographic images	7.8%	946	937	$11K
D0274	Bitewings - four radiographic images	5.0%	1,531	1,516	$7K
D1120	Dental cleaning, childProphylaxis - child	4.0%	657	650	$5K
D0220	Intraoral - periapical first radiographic image	4.0%	2,477	2,402	$5K
D1208	Topical application of fluoride, excluding varnish	2.4%	651	645	$3K
D0230	Intraoral - periapical each additional radiographic image	2.1%	1,838	1,797	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.9%	180	111	$3K

7 more codes

D0140	Limited oral evaluation - problem focused	1.6%	337	$2K
D2750		1.5%	29	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.0%	69	$1K
D8660		<1%	12	$530.00
D0330	Panoramic radiographic image	<1%	48	$488.25
D2954		<1%	16	$270.00
D0340		<1%	13	$195.00

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 officialSHAFFER, TERRI (MANAGER)

Same official

Other billing entities under SHAFFER, TERRI

Full network →

Provider	Location	Paid
PDG of Shrewsbury PA	Shrewsbury, NJ	$980.50

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.