Middletown Family Dental LLC

Middletown Family Dental LLC was paid $177K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.

33Billing provider infoMIDDLETOWN FAMILY DENTAL LLC
MIDDLETOWN, NJ 07748

33aNPI1932586914assigned 04/29/2015

33bProvider typeDentist

28Total paid$177K

24GClaims15,819

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#169 of 674

Median peer was paid$27K

This provider vs. median6.6×

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	951	$17K
2019	1,047	$15K
2020	1,041	$12K
2021	1,941	$25K
2022	3,772	$38K
2023	4,249	$37K
2024incomplete	2,818	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	28%	2,084	2,050	$49K
D0150	Comprehensive oral evaluation - new or established patient	15%	1,261	1,230	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,500	1,478	$23K
D2751	Crown - porcelain fused to predominantly base metal	7.7%	51	36	$14K
D0220	Intraoral - periapical first radiographic image	6.5%	3,424	3,243	$11K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	6.0%	260	124	$11K
D0210	Intraoral - complete series of radiographic images	5.8%	267	267	$10K
D0274	Bitewings - four radiographic images	4.6%	1,583	1,524	$8K
D0230	Intraoral - periapical each additional radiographic image	4.5%	3,442	2,356	$8K
D0140	Limited oral evaluation - problem focused	3.3%	754	717	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.2%	74	54	$4K
D0330	Panoramic radiographic image	1.3%	903	862	$2K

5 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	45	$2K
D1120	Dental cleaning, child	<1%	82	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	63	$328.00
D9310		<1%	12	$281.60
D0272	Bitewings - two radiographic images	<1%	14	$96.00

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 officialQUILTY, MICHELE (OFFICE MANAGER)