Dental
Pangborn Family Dentistry LLC
Pangborn Family Dentistry LLC was paid $418K by Medicaid between Jan 2019 and Aug 2023, across 24 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 20% of everything it billed.
33Billing provider infoPANGBORN FAMILY DENTISTRY LLC
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
33aNPI1982180360assigned 07/18/2018
33bProvider typeEndodontist
28Total paid$418K
24GClaims35,429
24DCodes billed24
24AFirst – last monthJan 2019 – Aug 2023
Compared with peers
Next to other Endodontist providers in New Jersey
Rank by total paid#20 of 60
Median peer was paid$91K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2019 | 4,065 | $41K | |
| 2020 | 7,227 | $82K | |
| 2021 | 11,109 | $153K | |
| 2022 | 9,119 | $100K | |
| 2023 | 3,909 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 20% | 411 | 341 | $83K |
| D1110 | Prophylaxis - adult | 12% | 4,662 | 4,622 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,035 | 1,399 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,596 | 4,556 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 1,566 | 934 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 2,143 | 2,138 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 1,761 | 1,755 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 1,258 | 1,257 | $20K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 1,359 | 1,315 | $16K |
| D0274 | Bitewings - four radiographic images | 3.1% | 2,712 | 2,688 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.8% | 452 | 331 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 4,929 | 4,855 | $11K |
12 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,838 | $9K |
| D2954 | 1.9% | 237 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 486 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 4,326 | $7K |
| D1351 | Sealant - per tooth | <1% | 289 | $3K |
| D2335 | <1% | 65 | $2K | |
| D2332 | <1% | 80 | $2K | |
| D2330 | <1% | 67 | $1K | |
| D2394 | <1% | 19 | $605.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 103 | $315.00 |
| D2331 | <1% | 15 | $295.00 | |
| D0603 | <1% | 20 | $120.00 |
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 officialCHISOLM, TWANIQUA (MANAGER)