Dental
Tender Smiles 4 Kids of Monmouth, LLC
Tender Smiles 4 Kids of Monmouth, LLC was paid $9.50M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoTENDER SMILES 4 KIDS OF MONMOUTH, LLC
FREEHOLD, NJ 07728
FREEHOLD, NJ 07728
33aNPI1942315445assigned 08/21/2006
33bProvider typePediatric Dentist
28Total paid$9.50M
24GClaims333,931
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#4 of 190
Median peer was paid$275K
This provider vs. median35×
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 | 33,302 | $1.12M | |
| 2019 | 43,387 | $1.16M | |
| 2020 | 38,726 | $984K | |
| 2021 | 54,398 | $1.42M | |
| 2022 | 60,557 | $1.49M | |
| 2023 | 56,803 | $1.72M | |
| 2024incomplete | 46,758 | $1.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 41,366 | 41,080 | $1.62M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 40,043 | 39,773 | $974K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 16,209 | 9,701 | $876K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 43,152 | 42,869 | $853K |
| D1351 | Sealant - per tooth | 8.3% | 35,982 | 10,589 | $791K |
| D9248 | 8.2% | 6,651 | 5,484 | $776K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.4% | 6,303 | 3,668 | $610K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 9,135 | 6,175 | $441K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 8,919 | 5,227 | $435K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 5,426 | 3,245 | $309K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 8,086 | 8,039 | $273K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 17,920 | 16,292 | $268K |
25 more codes
| D0272 | Bitewings - two radiographic images | 1.5% | 14,853 | $147K |
| D1110 | Prophylaxis - adult | 1.4% | 3,347 | $130K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 3,270 | $120K |
| D0240 | 1.3% | 11,622 | $120K | |
| D0602 | 1.2% | 15,693 | $110K | |
| D2933 | 1.1% | 926 | $100K | |
| D0603 | 1.0% | 13,366 | $97K | |
| D9420 | <1% | 298 | $81K | |
| D0274 | Bitewings - four radiographic images | <1% | 5,762 | $71K |
| D0330 | Panoramic radiographic image | <1% | 2,042 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,908 | $50K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 9,429 | $48K |
| D0601 | <1% | 4,337 | $35K | |
| D2331 | <1% | 537 | $27K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 575 | $27K |
| D1510 | <1% | 187 | $14K | |
| D3230 | <1% | 87 | $9K | |
| D2332 | <1% | 127 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 85 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 356 | $3K |
| D2330 | <1% | 40 | $2K | |
| D9920 | <1% | 701 | $557.00 | |
| D0191 | <1% | 22 | $290.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 154 | $111.55 |
| D0190 | <1% | 15 | $75.00 |
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 officialSULLA, MAXIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Maxim Sulla,dds, Professional Association | North Brunswick, NJ | $8.20M |
| Tender Smiles of Roselle PA | Linden, NJ | $1.76M |
| Tender Smiles of Ocean PA | Ocean, NJ | $1.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.