Dental
Dental PM PC
Dental PM PC was paid $120K by Medicaid between Nov 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoDENTAL PM PC
PATERSON, NJ 07505
PATERSON, NJ 07505
33aNPI1932570462assigned 10/09/2015
33bProvider typeDentist
28Total paid$120K
24GClaims18,992
24DCodes billed13
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#206 of 674
Median peer was paid$27K
This provider vs. median4.5×
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 | 12 | $0.00 | |
| 2019 | 519 | $4K | |
| 2020 | 906 | $7K | |
| 2021 | 2,084 | $14K | |
| 2022 | 4,665 | $23K | |
| 2023 | 5,464 | $33K | |
| 2024incomplete | 5,342 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 3,220 | 3,133 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 2,106 | 2,043 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,691 | 1,638 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 774 | 380 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,650 | 1,602 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 393 | 257 | $8K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 999 | 923 | $6K |
| D0274 | Bitewings - four radiographic images | 4.0% | 1,411 | 1,356 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 3,692 | 1,817 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 2,594 | 2,329 | $4K |
| D0330 | Panoramic radiographic image | 2.2% | 347 | 337 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 86 | 52 | $2K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 29 | $95.00 |
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 officialRODRIGUEZ, RAFAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| R.T. Portable X-Ray INC. | Cedar Hill, TX | $902K |
| Lucent Pathology Partners, INC | Carmichael, CA | $408K |
| Tbim Hospitalists LLC | Tampa, FL | $187K |
| Tampa Bay Inpatient Medicine PA | Tampa, FL | $159K |
| D-Rad Mobile Imaging Services | El Paso, TX | $116K |
| Woodside Medical Practice, P.C. | Woodside, NY | $79K |
| RRG Medical Practice, PC | Jackson Heights, NY | $26K |
| Elizabeth Dental 77 PC | Elizabeth, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.