| A | B | C | D | E | F | G | H | |||
| Estimated | Estimated | Estimated | ||||||||
| Estimated | Payable | Recoverable | Amount Eligible | Estimated | First Interim | |||||
| Submitted | Percent | Amount | Two-Thirds | Amount | for Distribution | Distribution | Distribution | |||
| Type | POC # | Provider Name | POC Amount | Allowable | (Col A x B) | of Col C | To Date | (Col D - E) | at 35% | w/ De Minimus |
| Ancillary | APP0009535 | YOLANDA ABICH, D.D.S. | $1,280.00 | 29.5% | $377.30 | $251.53 | $0.00 | $251.53 | $88.04 | $0.00 |
| Ancillary | APP0009616 | ABLE DENTAL CENTER | $7,231.25 | 85.4% | $6,172.50 | $4,115.00 | $0.00 | $4,115.00 | $1,440.25 | $1,440.25 |
| Ancillary | APP0049356 | ABLE MEDICAL TRANSPORTATION | $768.50 | 39.8% | $306.00 | $204.00 | $0.00 | $204.00 | $71.40 | $0.00 |
| Ancillary | APP0010752 | ACCESS AMBULANCE | $571.84 | 51.4% | $294.00 | $196.00 | $0.00 | $196.00 | $68.60 | $0.00 |
| Ancillary | APP0001558 | ADVANTAGE PHYSICAL THERAPY | $3,155.75 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009531 | ALL CITY DENTAL SERVICES | $8,241.58 | 98.5% | $8,120.65 | $5,413.77 | $679.60 | $4,734.17 | $1,656.96 | $1,656.96 |
| Ancillary | APP0010480 | ALLIED HEALTH CARE | $6,844.70 | 9.1% | $622.50 | $415.00 | $75.00 | $340.00 | $119.00 | $0.00 |
| Ancillary | APP0005454 | ANTONIO ALOSCO, D.P.M. | $420.00 | 92.9% | $390.00 | $260.00 | $0.00 | $260.00 | $91.00 | $0.00 |
| Ancillary | APP0010560 | ALWAYS CARING MED. TRANSPORT | $780.00 | 21.5% | $168.00 | $112.00 | $0.00 | $112.00 | $39.20 | $0.00 |
| Ancillary | APP0010501 | AMY COOPER GROSSBERG, P.C. | $6,167.40 | 57.6% | $3,555.10 | $2,370.07 | $0.00 | $2,370.07 | $829.52 | $829.52 |
| Ancillary | APP0049234 | ANESTHESIA BILLING CONSULTANTS | $135.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049338 | DONALD ANTONELLI, D.C. | $2,135.00 | 39.3% | $838.40 | $558.93 | $0.00 | $558.93 | $195.63 | $0.00 |
| Ancillary | APP0008247 | AT HOME MEDICAL INC. | $7,854.35 | 11.8% | $926.53 | $617.69 | $0.00 | $617.69 | $216.19 | $0.00 |
| Ancillary | APP0010663 | ATLANTIC CITY MED. CTR.\HOSPICE | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010471 | B.J.ROTH & SONS, INC. | $1,430.42 | 48.1% | $688.00 | $458.67 | $41.04 | $417.63 | $146.17 | $0.00 |
| Ancillary | APP0049232 | ROBERT T. BADO, DC | $1,055.00 | 39.5% | $416.80 | $277.87 | $0.00 | $277.87 | $97.25 | $0.00 |
| Ancillary | APP0009530 | BRUCES BAINES, D.D.S. | $28,639.00 | 22.1% | $6,335.65 | $4,223.77 | $713.95 | $3,509.82 | $1,228.44 | $1,228.44 |
| Ancillary | APP0009740 | ABRAHAM BANKER, D.M.D. | $11,178.10 | 81.7% | $9,133.00 | $6,088.67 | $509.85 | $5,578.82 | $1,952.59 | $1,952.59 |
| Ancillary | APP0009791 | ANDREA BARRETT, D.D.S. | $1,222.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009590 | KENNETH BARTON D.D.S. | $1,625.00 | 17.6% | $286.00 | $190.67 | $1,201.00 | ($1,010.33) | $0.00 | $0.00 |
| Ancillary | APP0010528 | BASIC HOME CARE | $45,452.72 | 98.1% | $44,588.97 | $29,725.98 | $9,929.94 | $19,796.04 | $6,928.61 | $6,928.61 |
| Ancillary | APP0009608 | MICHAEL BATARSEH, D.D.S. | $975.00 | 0.0% | $0.00 | $0.00 | $110.00 | ($110.00) | $0.00 | $0.00 |
| Ancillary | APP0006495 | SIMON BECKER, D.P.M. | $420.00 | 160.2% | $673.00 | $448.67 | $0.00 | $448.67 | $157.03 | $0.00 |
| Ancillary | APP0049392 | BELLEVILLE DENTAL CENTER, PC | $6,245.00 | 15.6% | $976.05 | $650.70 | $0.00 | $650.70 | $227.75 | $0.00 |
| Ancillary | APP0009523 | MORTON BERENBAUM, D.D.S. | $3,958.85 | 81.8% | $3,239.65 | $2,159.77 | $4,176.95 | ($2,017.18) | $0.00 | $0.00 |
| Ancillary | APP0009541 | STANLEY BERG, D.D.S. | $11,100.00 | 51.9% | $5,761.70 | $3,841.13 | $2,023.30 | $1,817.83 | $636.24 | $636.24 |
| Ancillary | APP0010408 | STUART BERGER, O.D. | $315.00 | 2.2% | $7.00 | $4.67 | $119.40 | ($114.73) | $0.00 | $0.00 |
| Ancillary | APP0007372 | BEST CARE MEDICAL SUPPLY | $221.76 | 34.7% | $77.00 | $51.33 | $0.00 | $51.33 | $17.97 | $0.00 |
| Ancillary | APP0009200 | BEST INSTITUTE INC. | $120.00 | 50.7% | $60.83 | $40.55 | $0.00 | $40.55 | $14.19 | $0.00 |
| Ancillary | APP0010620 | BIO-LABS USA INC. | $71,341.00 | 15.5% | $11,076.80 | $7,384.53 | $6.80 | $7,377.73 | $2,582.21 | $2,582.21 |
| Ancillary | APP0005862 | BMA OF JERSEY CITY | $2,085.79 | 62.7% | $1,308.61 | $872.41 | $0.00 | $872.41 | $305.34 | $0.00 |
| Ancillary | APP0009641 | EDWARD BOEHM, D.M.D. | $141,362.00 | 15.6% | $22,071.20 | $14,714.13 | $3,008.05 | $11,706.08 | $4,097.13 | $4,097.13 |
| Ancillary | APP0007578 | PHILIP BOOS, D.C. | $620.00 | 51.1% | $316.68 | $211.12 | $0.00 | $211.12 | $73.89 | $0.00 |
| Ancillary | APP0008094 | STEPHEN BORBERLY, D.P.M. | $6,107.00 | 8.4% | $513.00 | $342.00 | $333.00 | $9.00 | $3.15 | $0.00 |
| Ancillary | APP0009734 | POURANG BRAL, D.D.S. | $14,800.00 | 16.8% | $2,491.35 | $1,660.90 | $50.60 | $1,610.30 | $563.61 | $563.61 |
| Ancillary | APP0008345 | RICHARD BRAVER, D.P.M. | $6,410.00 | 3.2% | $206.00 | $137.33 | $0.00 | $137.33 | $48.07 | $0.00 |
| Ancillary | APP0010366 | BROOKDALE CLINICAL LABORATORY | $277,728.41 | 9.9% | $27,421.96 | $18,281.31 | $802.40 | $17,478.91 | $6,117.62 | $6,117.62 |
| Ancillary | APP0008836 | BURGESS ORTHOTICS | $711.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010365 | CAL LAB, P.A. | $4,598.50 | 18.2% | $835.00 | $556.67 | $122.80 | $433.87 | $151.85 | $0.00 |
| Ancillary | APP0009645 | OLIVER CAMPBELL, D.D.S. | $7,309.50 | 83.7% | $6,117.90 | $4,078.60 | $4,911.90 | ($833.30) | $0.00 | $0.00 |
| Ancillary | APP0009794 | JOHN J. CARCHMAN, D.D.S. | $569.50 | 117.4% | $668.50 | $445.67 | $0.00 | $445.67 | $155.98 | $0.00 |
| Ancillary | APP0010374 | CAREMARK INC. | $920.80 | 99.9% | $920.00 | $613.33 | $1,890.00 | ($1,276.67) | $0.00 | $0.00 |
| Ancillary | APP0010735 | CAREMARK THERAPEUTIC SERVICES | $5,352.96 | 100.0% | $5,352.96 | $3,568.64 | $0.00 | $3,568.64 | $1,249.02 | $1,249.02 |
| Ancillary | APP0010339 | CARLASCIO ORTHOPEDICS | $5,668.14 | 26.6% | $1,507.00 | $1,004.67 | $2,289.50 | ($1,284.83) | $0.00 | $0.00 |
| Ancillary | APP0049514 | CASTLE CHIROPRACTIC CENTER | $1,603.48 | 47.4% | $760.65 | $507.10 | $0.00 | $507.10 | $177.48 | $0.00 |
| Ancillary | APP0008725 | THOMAS CATARELLA, D.C. | $175.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010274 | JOHN CERUTTI, D.C. | $1,165.00 | 38.8% | $451.60 | $301.07 | $0.00 | $301.07 | $105.37 | $0.00 |
| Ancillary | APP0009642 | ALLEN CHENG, D.M.D. | $4,785.38 | 91.2% | $4,362.50 | $2,908.33 | $0.00 | $2,908.33 | $1,017.92 | $1,017.92 |
| Ancillary | APP0009546 | FAINA CHERKEZ D.D.S. | $12,704.60 | 62.8% | $7,982.65 | $5,321.77 | $3,741.00 | $1,580.77 | $553.27 | $553.27 |
| Ancillary | APP0009269 | WAYNE CHIEPPA, D.P.M. | $360.00 | 37.5% | $135.00 | $90.00 | $0.00 | $90.00 | $31.50 | $0.00 |
| Ancillary | APP0009547 | ANTOINE CHIHA D.D.S. | $7,953.00 | 88.4% | $7,032.60 | $4,688.40 | $476.30 | $4,212.10 | $1,474.23 | $1,474.23 |
| Ancillary | APP0049362 | CHIRO-REHAB SPINE CENTER | $350.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009208 | CHIROPRACTIC CENTER OF WESTFIELD | $175.00 | 42.9% | $75.00 | $50.00 | $0.00 | $50.00 | $17.50 | $0.00 |
| Ancillary | APP0008599 | CHRIST HOSPITAL DENTAL | $7,455.00 | 22.2% | $1,654.45 | $1,102.97 | $923.75 | $179.22 | $62.73 | $0.00 |
| Ancillary | APP0010363 | CHRIST HOSPITAL HOME HEALTH | $9,340.00 | 75.8% | $7,078.30 | $4,718.87 | $226.00 | $4,492.87 | $1,572.50 | $1,572.50 |
| Ancillary | APP0008932 | JOSEPH CILEA, D.C. | $4,560.00 | 42.7% | $1,948.40 | $1,298.93 | $0.00 | $1,298.93 | $454.63 | $0.00 |
| Ancillary | APP0008953 | CITY DENTAL | $47,841.75 | 59.0% | $28,215.39 | $18,810.26 | $17,123.65 | $1,686.61 | $590.31 | $590.31 |
| Ancillary | APP0010714 | CITY ELIZABETH AMBULANCE SV BUREAU | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010614 | CITY OF ELIZABETH - EMS CITY HALL | $21,255.24 | 23.9% | $5,073.00 | $3,382.00 | $0.00 | $3,382.00 | $1,183.70 | $1,183.70 |
| Ancillary | APP0009591 | PETER CLEMENTE, D.M.D. | $360.00 | 8.6% | $30.80 | $20.53 | $0.00 | $20.53 | $7.19 | $0.00 |
| Ancillary | APP0010699 | CLIFTON EYE CARE | $15,385.00 | 16.4% | $2,529.00 | $1,686.00 | $365.00 | $1,321.00 | $462.35 | $0.00 |
| Ancillary | APP0009620 | CLINTON HILL DENTAL ASSOC. | $1,565.00 | 7.5% | $117.50 | $78.33 | $0.00 | $78.33 | $27.42 | $0.00 |
| Ancillary | APP0010303 | MARTIN COHEN, D.C. | $175.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009750 | COLOR PLAZA DENTAL CENTER | $443.00 | 92.1% | $407.90 | $271.93 | $196.10 | $75.83 | $26.54 | $0.00 |
| Ancillary | APP0000600 | COMMUNITY MEDICAL CENTER | $21,529.00 | 90.9% | $19,568.76 | $13,045.84 | $44.00 | $13,001.84 | $4,550.64 | $4,550.64 |
| Ancillary | APP0007524 | COMPASSIONATE CARE HOSPICE | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010711 | COMPASSIONATE CARE HOSPICE | $15,400.00 | 11.7% | $1,800.00 | $1,200.00 | $0.00 | $1,200.00 | $420.00 | $0.00 |
| Ancillary | APP0009509 | COMPLETE DENTAL CARE, DMD P.C. | $20,420.00 | 11.3% | $2,307.95 | $1,538.63 | $675.95 | $862.68 | $301.94 | $0.00 |
| Ancillary | APP0010409 | ALLAN R. COOPER, O.D. | $9,858.40 | 57.4% | $5,656.10 | $3,770.73 | $7,799.10 | ($4,028.37) | $0.00 | $0.00 |
| Ancillary | APP0049368 | CORAM ALTERNATE SITE SERVICES | $2,075.20 | 86.2% | $1,789.40 | $1,192.93 | $0.00 | $1,192.93 | $417.53 | $0.00 |
| Ancillary | APP0049491 | CORAM PRESCRIPTION SERVICES | $3,304.53 | 58.6% | $1,935.53 | $1,290.35 | $0.00 | $1,290.35 | $451.62 | $0.00 |
| Ancillary | APP0008145 | CORNELL SURGICAL COMPANY | $467.75 | 82.2% | $384.57 | $256.38 | $0.00 | $256.38 | $89.73 | $0.00 |
| Ancillary | APP0010538 | CREATIVE MEDICAL | $6,358.00 | 88.9% | $5,653.00 | $3,768.67 | $0.00 | $3,768.67 | $1,319.03 | $1,319.03 |
| Ancillary | APP0009592 | WARREN DAVIS D.D.S. | $4,250.80 | 41.4% | $1,760.90 | $1,173.93 | $1,227.60 | ($53.67) | $0.00 | $0.00 |
| Ancillary | APP0009384 | MATTHEW DE LUCA | $163.97 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0005571 | TESTA DEBENEDICTIS, D.P.M. | $885.00 | 36.2% | $320.25 | $213.50 | $2,169.16 | ($1,955.66) | $0.00 | $0.00 |
| Ancillary | APP0009738 | JOHN DEFRANCO, D.D.S. | $5,254.30 | 64.8% | $3,406.55 | $2,271.03 | $319.50 | $1,951.53 | $683.04 | $683.04 |
| Ancillary | APP0006792 | ANGELO DEL PRIORE, D.P.M. | $271.22 | 24.0% | $65.00 | $43.33 | $0.00 | $43.33 | $15.17 | $0.00 |
| Ancillary | APP0004522 | DENTAL HEALTH ASSOC. OF NEWARK | $2,691.10 | 37.8% | $1,016.40 | $677.60 | $0.00 | $677.60 | $237.16 | $0.00 |
| Ancillary | APP0004881 | DENTAL HEALTH ASSOCIATES | $22,915.00 | 55.7% | $12,752.45 | $8,501.63 | $62,423.55 | ($53,921.92) | $0.00 | $0.00 |
| Ancillary | APP0007982 | DENTAL HEALTH ASSOCIATES | $22,815.15 | 78.6% | $17,943.65 | $11,962.43 | $1,718.20 | $10,244.23 | $3,585.48 | $3,585.48 |
| Ancillary | APP0009643 | DENTAL PLAZA, P.A. | $22,025.90 | 98.8% | $21,772.00 | $14,514.67 | $0.00 | $14,514.67 | $5,080.13 | $5,080.13 |
| Ancillary | APP0009515 | MICHAEL DICKMAN, D.D.S | $4,562.05 | 71.8% | $3,274.70 | $2,183.13 | $127.70 | $2,055.43 | $719.40 | $719.40 |
| Ancillary | APP0007793 | PHILIP DIPASQUALE, D.C. | $1,000.00 | 33.8% | $338.40 | $225.60 | $0.00 | $225.60 | $78.96 | $0.00 |
| Ancillary | APP0010734 | ALICIA DORMAN, O.D. | $160.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009597 | ROBERT DORSKY D.M.D. | $1,639.50 | 70.1% | $1,150.10 | $766.73 | $0.00 | $766.73 | $268.36 | $0.00 |
| Ancillary | APP0009976 | DRUG EMPORIUM #0001 | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0008928 | EDISON FOOT AND ANKLE CARE PC | $1,661.89 | 44.2% | $735.00 | $490.00 | $0.00 | $490.00 | $171.50 | $0.00 |
| Ancillary | APP0009605 | JAMIL EL-SAMNA, D.D.S. | $7,299.80 | 82.6% | $6,031.70 | $4,021.13 | $1,286.45 | $2,734.68 | $957.14 | $957.14 |
| Ancillary | APP0049428 | ENGLEWOOD KNEE & SPORTS MED. | $270.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0004899 | ERIC B. CHANDLER HEALTH CENTER | $17,520.25 | 57.8% | $10,128.65 | $6,752.43 | $712.80 | $6,039.63 | $2,113.87 | $2,113.87 |
| Ancillary | APP0010585 | EXPRESS MEDICAL EQUIPMENT | $1,136.14 | 53.5% | $607.61 | $405.07 | $210.46 | $194.61 | $68.11 | $0.00 |
| Ancillary | APP0010704 | EXPRESS SCRIPT INC. IVTX | $3,053.28 | 100.0% | $3,053.28 | $2,035.52 | $0.00 | $2,035.52 | $712.43 | $712.43 |
| Ancillary | APP0009548 | STEVEN FACTOR D.D.S. | $6,352.50 | 124.4% | $7,902.95 | $5,268.63 | $757.70 | $4,510.93 | $1,578.83 | $1,578.83 |
| Ancillary | APP0009743 | FAMILY DENTISTRY, P.C. | $27,902.02 | 75.1% | $20,962.15 | $13,974.77 | $1,146.60 | $12,828.17 | $4,489.86 | $4,489.86 |
| Ancillary | APP0008912 | FAMILY INSTITUTE OF N.J. | $1,265.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010350 | FAMILY MEDICAL SUPPLY | $3,362.25 | 84.1% | $2,826.54 | $1,884.36 | $633.99 | $1,250.37 | $437.63 | $0.00 |
| Ancillary | APP0049300 | FEILER DENTAL ASSOCIATES | $460.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009219 | MARSHALL FELDMAN | $4,145.00 | 5.9% | $244.00 | $162.67 | $0.00 | $162.67 | $56.93 | $0.00 |
| Ancillary | APP0008581 | RICHARD FINDER | $3,340.00 | 41.0% | $1,368.80 | $912.53 | $0.00 | $912.53 | $319.39 | $0.00 |
| Ancillary | APP0009634 | GEORGE FLUGRAD,D.M.D. | $60,210.00 | 18.9% | $11,358.00 | $7,572.00 | $151.45 | $7,420.55 | $2,597.19 | $2,597.19 |
| Ancillary | APP0008949 | FOOT & ANKLE CARE ASSOCIATES | $1,730.00 | 16.2% | $279.90 | $186.60 | $0.00 | $186.60 | $65.31 | $0.00 |
| Ancillary | APP0009673 | ALAN FRANKEL, D.M.D. | $2,575.00 | 18.7% | $482.30 | $321.53 | $0.00 | $321.53 | $112.54 | $0.00 |
| Ancillary | APP0009628 | MAUREEN FRASER, D.D.S. | $20,828.99 | 62.1% | $12,933.85 | $8,622.57 | $2,409.75 | $6,212.82 | $2,174.49 | $2,174.49 |
| Ancillary | APP0009626 | MYRON FREEDNER D.D.S. | $3,725.00 | 11.8% | $440.00 | $293.33 | $484.00 | ($190.67) | $0.00 | $0.00 |
| Ancillary | APP0009598 | PAUL FREEMAN, JR., D.D.S. | $6,378.20 | 73.2% | $4,667.55 | $3,111.70 | $1.10 | $3,110.60 | $1,088.71 | $1,088.71 |
| Ancillary | APP0010428 | ARTHUR FREIDMAN, O.D. | $490.00 | 64.3% | $315.00 | $210.00 | $0.00 | $210.00 | $73.50 | $0.00 |
| Ancillary | APP0009635 | ARTHUR FRIEDMAN, D.M.D. | $466.50 | 71.1% | $331.60 | $221.07 | $45.00 | $176.07 | $61.62 | $0.00 |
| Ancillary | APP0009629 | TZULIN FU, D.D.S. | $6,864.11 | 101.7% | $6,978.10 | $4,652.07 | $571.45 | $4,080.62 | $1,428.22 | $1,428.22 |
| Ancillary | APP0008023 | PASKO GAZIVODA, M.D. | $1,093.52 | 25.7% | $281.16 | $187.44 | $0.00 | $187.44 | $65.60 | $0.00 |
| Ancillary | APP0009800 | NOUSHIN GHAJARI, D.D.S | $650.80 | 31.7% | $206.40 | $137.60 | $0.00 | $137.60 | $48.16 | $0.00 |
| Ancillary | APP0049458 | SUSAN GIACALONE, M.D. | $918.00 | 20.7% | $190.00 | $126.67 | $0.00 | $126.67 | $44.33 | $0.00 |
| Ancillary | APP0010355 | JAN GLADSTONE, D.M.D. | $5,942.46 | 88.8% | $5,276.65 | $3,517.77 | $0.00 | $3,517.77 | $1,231.22 | $1,231.22 |
| Ancillary | APP0010386 | WILLIAM GOLDSMITH, O.D. | $3,353.00 | 72.4% | $2,428.00 | $1,618.67 | $1,610.00 | $8.67 | $3.03 | $0.00 |
| Ancillary | APP0009501 | SAMMY GOLDSTEIN, D.D.S. | $6,966.00 | 40.4% | $2,817.40 | $1,878.27 | $0.00 | $1,878.27 | $657.39 | $657.39 |
| Ancillary | APP0007322 | SCOTT GOLER, D.P.M. | $633.00 | 100.0% | $633.00 | $422.00 | $0.00 | $422.00 | $147.70 | $0.00 |
| Ancillary | APP0008482 | GOOD TALKING PEOPLE - TEANECK | $890.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010705 | GOTTLIEB HEARING CENTER | $950.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009710 | SANDRA GRAY,D.M.D. | $620.00 | 13.7% | $85.20 | $56.80 | $98.00 | ($41.20) | $0.00 | $0.00 |
| Ancillary | APP0008955 | GRODJESK & DOLINSKY, D.D.S. | $4,704.20 | 46.2% | $2,171.40 | $1,447.60 | $0.00 | $1,447.60 | $506.66 | $506.66 |
| Ancillary | APP0009722 | JERRY GROSS, D.D.S. | $2,489.40 | 87.8% | $2,185.85 | $1,457.23 | $2,060.00 | ($602.77) | $0.00 | $0.00 |
| Ancillary | APP0008098 | JOHN GUADARA, D.P.M. | $3,950.00 | 2.7% | $107.00 | $71.33 | $42.00 | $29.33 | $10.27 | $0.00 |
| Ancillary | APP0008609 | GUTTENBERG DENTAL | $3,162.00 | 24.9% | $788.30 | $525.53 | $359.70 | $165.83 | $58.04 | $0.00 |
| Ancillary | APP0049376 | HACKENSACK NON-INVASIVE LAB | $692.50 | 12.0% | $83.20 | $55.47 | $0.00 | $55.47 | $19.41 | $0.00 |
| Ancillary | APP0009516 | LONNIE HALL, D.D.S. | $13,105.00 | 93.5% | $12,252.25 | $8,168.17 | $756.80 | $7,411.37 | $2,593.98 | $2,593.98 |
| Ancillary | APP0010797 | HAMILTON PARK HEALTHCARE CNTR | $4,750.00 | 100.0% | $4,750.00 | $3,166.67 | $0.00 | $3,166.67 | $1,108.33 | $1,108.33 |
| Ancillary | APP0007410 | KEVIN HEALEY, D.P.M. | $1,873.46 | 6.2% | $116.08 | $77.39 | $120.00 | ($42.61) | $0.00 | $0.00 |
| Ancillary | APP0010706 | HEARX LTD. | $5,005.00 | 81.3% | $4,070.00 | $2,713.33 | $0.00 | $2,713.33 | $949.67 | $949.67 |
| Ancillary | APP0010334 | MARK HECHT, O.D. | $1,485.00 | 7.4% | $110.00 | $73.33 | $1,000.00 | ($926.67) | $0.00 | $0.00 |
| Ancillary | APP0010616 | MARK D. HECHT, O.D. | $2,995.00 | 18.4% | $549.90 | $366.60 | $305.00 | $61.60 | $21.56 | $0.00 |
| Ancillary | APP0008910 | HELION COUNSELING, P.A. | $1,360.00 | 78.4% | $1,066.00 | $710.67 | $0.00 | $710.67 | $248.73 | $0.00 |
| Ancillary | APP0009595 | EDWARD HENICK, D.D.S. | $333.60 | 11.7% | $39.00 | $26.00 | $44.00 | ($18.00) | $0.00 | $0.00 |
| Ancillary | APP0008416 | BARRY HERSTIK, D.P.M. | $8,250.00 | 33.3% | $2,750.00 | $1,833.33 | $0.00 | $1,833.33 | $641.67 | $641.67 |
| Ancillary | APP0008585 | IVAN HERSTIK, D.P.M. | $9,745.00 | 1.6% | $157.00 | $104.67 | $0.00 | $104.67 | $36.63 | $0.00 |
| Ancillary | APP0010402 | HOWARD HERTZ, O.D. | $1,133.00 | 73.7% | $835.00 | $556.67 | $150.00 | $406.67 | $142.33 | $0.00 |
| Ancillary | APP0009570 | NGAN HIRAI, D.M.D. | $12,933.26 | 56.2% | $7,274.70 | $4,849.80 | $0.00 | $4,849.80 | $1,697.43 | $1,697.43 |
| Ancillary | APP0010570 | HOFFRITZ OPTICIANS | $73.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010650 | HOLY NAME HOME CARE, INC. | $536.00 | 92.1% | $493.77 | $329.18 | $0.00 | $329.18 | $115.21 | $0.00 |
| Ancillary | APP0010586 | HOME & HOSPITAL PERSONNEL INC. | $2,867.00 | 0.0% | $0.00 | $0.00 | $29,985.00 | ($29,985.00) | $0.00 | $0.00 |
| Ancillary | APP0010662 | HOME CARE SERVICE | $27,697.33 | 8.1% | $2,251.06 | $1,500.71 | $2,031.30 | ($530.59) | $0.00 | $0.00 |
| Ancillary | APP0010370 | HOME HEALTH AGENCY OF HACKENSACK | $3,665.70 | 28.2% | $1,035.00 | $690.00 | $0.00 | $690.00 | $241.50 | $0.00 |
| Ancillary | APP0010743 | HOME MEDICAL SERVICES OF NJ | $58,000.00 | 15.9% | $9,210.20 | $6,140.13 | $0.00 | $6,140.13 | $2,149.05 | $2,149.05 |
| Ancillary | APP0009571 | AN-LING HUANG, D.M.D. | $9,620.00 | 30.7% | $2,949.30 | $1,966.20 | $273.35 | $1,692.85 | $592.50 | $592.50 |
| Ancillary | APP0010496 | HUDSON LABORATORIES, PA | $23,790.00 | 20.9% | $4,976.88 | $3,317.92 | $2,283.24 | $1,034.68 | $362.14 | $0.00 |
| Ancillary | APP0010667 | HUNTERDON MEDICAL CENTER\HOSPICE | $3,350.05 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049302 | IMPATH, INC. | $1,900.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0006769 | INDUSTRIAL STRENGTH FITNESS | $307.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0008479 | INFU-TECH, INC. | $2,622.24 | 93.3% | $2,445.70 | $1,630.47 | $0.00 | $1,630.47 | $570.66 | $570.66 |
| Ancillary | APP0010462 | INTERSCIENCE DIAGNOSTIC LAB | $53,993.35 | 31.0% | $16,761.31 | $11,174.21 | $0.00 | $11,174.21 | $3,910.97 | $3,910.97 |
| Ancillary | APP0010489 | J.T. MURDOCH SHOES | $1,697.00 | 90.3% | $1,532.00 | $1,021.33 | $0.00 | $1,021.33 | $357.47 | $0.00 |
| Ancillary | APP0010340 | JACK GOLD SURGICAL APPLIANCES, INC. | $1,362.59 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009520 | DENNIS JACKSON, D.D.S. | $841.00 | 85.8% | $721.30 | $480.87 | $189.20 | $291.67 | $102.08 | $0.00 |
| Ancillary | APP0010385 | EDWARD JANIGA, O.D. | $480.00 | 63.1% | $303.00 | $202.00 | $0.00 | $202.00 | $70.70 | $0.00 |
| Ancillary | APP0010474 | JAZZY EYES OPTICAL | $1,683.00 | 59.3% | $998.00 | $665.33 | $476.20 | $189.13 | $66.20 | $0.00 |
| Ancillary | APP0009903 | JERRY'S DRUGS & SURG | $95.00 | 168.4% | $160.00 | $106.67 | $15.99 | $90.68 | $31.74 | $0.00 |
| Ancillary | APP0009503 | JERSEY CITY DENTAL SERVICES, INC. | $7,045.80 | 72.9% | $5,135.15 | $3,423.43 | $964.25 | $2,459.18 | $860.71 | $860.71 |
| Ancillary | APP0010432 | JOSE JIMENEZ, O.D. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009573 | SIVI JONES D.D.S. | $854.70 | 66.3% | $566.70 | $377.80 | $0.00 | $377.80 | $132.23 | $0.00 |
| Ancillary | APP0010651 | KEVIN JULIAN. D.C. | $280.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0008099 | MATTHEW KAIMAN, D.P.M. | $60.00 | 100.0% | $60.00 | $40.00 | $88.46 | ($48.46) | $0.00 | $0.00 |
| Ancillary | APP0009679 | HERAWATI KANDOU, D.D.S. | $55,150.00 | 27.2% | $14,998.30 | $9,998.87 | $12,518.40 | ($2,519.53) | $0.00 | $0.00 |
| Ancillary | APP0001502 | NANCY ANN KAPLAN, D.P.M. | $1,020.00 | 14.7% | $150.00 | $100.00 | $0.00 | $100.00 | $35.00 | $0.00 |
| Ancillary | APP0009667 | RICHARD KELNER D.M.D | $1,540.00 | 15.1% | $232.10 | $154.73 | $0.00 | $154.73 | $54.16 | $0.00 |
| Ancillary | APP0010325 | ROBERT KEMPLER, O.D. | $60.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0005546 | KENNEDY URGENT CARE | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0007755 | KESSLER HOME HEALTH SERVICE | $1,340.00 | 79.1% | $1,060.00 | $706.67 | $0.00 | $706.67 | $247.33 | $0.00 |
| Ancillary | APP0009660 | ANTHONY KESTLER, D.D.S. | $8,527.15 | 76.8% | $6,548.65 | $4,365.77 | $209.00 | $4,156.77 | $1,454.87 | $1,454.87 |
| Ancillary | APP0009655 | FAIZUL KHAN, D.D.S. | $27,329.00 | 61.2% | $16,738.95 | $11,159.30 | $0.00 | $11,159.30 | $3,905.75 | $3,905.75 |
| Ancillary | APP0001572 | KIPNIS ORTHOPEDIC REHAB INSTITUTE | $4,771.00 | 21.7% | $1,034.36 | $689.57 | $0.00 | $689.57 | $241.35 | $0.00 |
| Ancillary | APP0007513 | ALLEN S. KIRK, D.P.M. | $967.00 | 8.9% | $86.00 | $57.33 | $0.00 | $57.33 | $20.07 | $0.00 |
| Ancillary | APP0008100 | VINCENT LA BRUNA, D.P.M. | $85.00 | 47.1% | $40.00 | $26.67 | $120.00 | ($93.33) | $0.00 | $0.00 |
| Ancillary | APP0007788 | LAKELAND MEDICAL PA | $2,040.00 | 8.1% | $165.60 | $110.40 | $0.00 | $110.40 | $38.64 | $0.00 |
| Ancillary | APP0005461 | LUIS LEAL, D.P.M. | $105.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010202 | LEO HOPP PHARMACY | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0005327 | FRANKLIN LEVINSON, D.P.M. | $630.00 | 53.8% | $338.75 | $225.83 | $0.00 | $225.83 | $79.04 | $0.00 |
| Ancillary | APP0010384 | MARC LEVINSON, O.D. | $179.00 | 0.0% | $0.00 | $0.00 | $515.00 | ($515.00) | $0.00 | $0.00 |
| Ancillary | APP0010652 | LIBERTY HOME CARE, INC. | $14,261.00 | 81.2% | $11,583.05 | $7,722.03 | $0.00 | $7,722.03 | $2,702.71 | $2,702.71 |
| Ancillary | APP0010765 | LIFESTYLE INSTITUTE | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049412 | LINWOOD CONVALESCENT CENTER | $4,432.85 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049307 | JENNIE LIPPIELLO, D.C. | $120.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009697 | IRINA LOPATNYUK, D.D.S. | $2,584.45 | 89.9% | $2,324.10 | $1,549.40 | $74.80 | $1,474.60 | $516.11 | $516.11 |
| Ancillary | APP0049329 | GEORGE J. LUBERTAZZO, D.C. | $1,680.00 | 28.4% | $477.60 | $318.40 | $0.00 | $318.40 | $111.44 | $0.00 |
| Ancillary | APP0049193 | MADISON CENTER EMERY NURSING & REHAB CENTER | $8,250.00 | 86.1% | $7,100.00 | $4,733.33 | $0.00 | $4,733.33 | $1,656.67 | $1,656.67 |
| Ancillary | APP0009576 | F. MAHDI, D.M.D. | $1,463.00 | 21.5% | $314.20 | $209.47 | $0.00 | $209.47 | $73.31 | $0.00 |
| Ancillary | APP0005462 | RAYMOND MAIMONE, D.P.M. | $60.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0006423 | MAIN SURGICAL CO., INC. | $398.96 | 92.0% | $367.00 | $244.67 | $0.00 | $244.67 | $85.63 | $0.00 |
| Ancillary | APP0009737 | MANVILLE DENTAL GROUP | $15,738.00 | 25.0% | $3,935.20 | $2,623.47 | $0.00 | $2,623.47 | $918.21 | $918.21 |
| Ancillary | APP0009550 | JEROME MARGOLIN D.D.S. | $4,675.00 | 37.5% | $1,751.15 | $1,167.43 | $24.20 | $1,143.23 | $400.13 | $0.00 |
| Ancillary | APP0009799 | MARIANNE MAURO, D.D.S. | $355.30 | 100.0% | $355.30 | $236.87 | $0.00 | $236.87 | $82.90 | $0.00 |
| Ancillary | APP0010772 | MAXIMUM CARE AMBULANCE SERVICE | $630.50 | 24.4% | $154.00 | $102.67 | $0.00 | $102.67 | $35.93 | $0.00 |
| Ancillary | APP0009674 | DAVID MAYER, D.M.D. | $15,550.05 | 69.6% | $10,829.80 | $7,219.87 | $4,264.70 | $2,955.17 | $1,034.31 | $1,034.31 |
| Ancillary | APP0009675 | PATRICIA MC CREADI, D.M.D. | $680.00 | 38.4% | $261.25 | $174.17 | $0.00 | $174.17 | $60.96 | $0.00 |
| Ancillary | APP0009551 | PATRICIA MC CREADIE D.M.D. | $4,520.00 | 17.4% | $786.20 | $524.13 | $0.00 | $524.13 | $183.45 | $0.00 |
| Ancillary | APP0008027 | JOHN MCNERNEY, D.P.M. | $225.00 | 5.8% | $13.00 | $8.67 | $0.00 | $8.67 | $3.03 | $0.00 |
| Ancillary | APP0008795 | MEDIPLEX SURGERY CENTER | $985.00 | 16.5% | $163.00 | $108.67 | $0.00 | $108.67 | $38.03 | $0.00 |
| Ancillary | APP0009726 | MELANIE MEDRANO, D.M.D. | $9,020.86 | 55.4% | $5,000.50 | $3,333.67 | $169.40 | $3,164.27 | $1,107.49 | $1,107.49 |
| Ancillary | APP0009647 | FREDRICK MEISELMAN, D.D.S. | $14,040.00 | 17.2% | $2,411.20 | $1,607.47 | $139.10 | $1,468.37 | $513.93 | $513.93 |
| Ancillary | APP0010680 | METROPOLITAN AMBULANCE CORP. | $469.00 | 23.0% | $108.00 | $72.00 | $0.00 | $72.00 | $25.20 | $0.00 |
| Ancillary | APP0010352 | METROPOLITAN MEDICARE CO. | $1,710.40 | 20.4% | $349.66 | $233.11 | $1,257.88 | ($1,024.77) | $0.00 | $0.00 |
| Ancillary | APP0009529 | VALERY MILMAN, D.D.S. | $3,541.35 | 90.0% | $3,187.35 | $2,124.90 | $7,548.00 | ($5,423.10) | $0.00 | $0.00 |
| Ancillary | APP0010475 | FRANK MIRABELLI, Sc.D. | $7,020.00 | 0.6% | $42.00 | $28.00 | $0.00 | $28.00 | $9.80 | $0.00 |
| Ancillary | APP0009785 | DEVANG H. MODI, D.M.D. | $25,000.00 | 10.8% | $2,701.50 | $1,801.00 | $0.00 | $1,801.00 | $630.35 | $630.35 |
| Ancillary | APP0009786 | SAFINAZ MORCOS, D.D.S. | $9,940.00 | 22.6% | $2,249.50 | $1,499.67 | $0.00 | $1,499.67 | $524.88 | $524.88 |
| Ancillary | APP0009630 | DAVID MOSS, D.D.S. | $6,257.00 | 91.2% | $5,706.40 | $3,804.27 | $498.85 | $3,305.42 | $1,156.90 | $1,156.90 |
| Ancillary | APP0009770 | BROOKE SHARNAZ MOSSADED, D.D.S. | $746.80 | 10.9% | $81.40 | $54.27 | $0.00 | $54.27 | $18.99 | $0.00 |
| Ancillary | APP0009745 | NIKI MOSSADED, D.D.S. | $1,088.50 | 0.7% | $7.70 | $5.13 | $383.90 | ($378.77) | $0.00 | $0.00 |
| Ancillary | APP0005463 | ANNA MOY, D.P.M. | $18,305.00 | 35.8% | $6,557.00 | $4,371.33 | $344.00 | $4,027.33 | $1,409.57 | $1,409.57 |
| Ancillary | APP0007549 | JAMES NAPOLI, D.C. | $200.00 | 57.0% | $114.00 | $76.00 | $0.00 | $76.00 | $26.60 | $0.00 |
| Ancillary | APP0008028 | LISA NEEDLEMAN, D.P.M. | $105.00 | 81.0% | $85.00 | $56.67 | $0.00 | $56.67 | $19.83 | $0.00 |
| Ancillary | APP0008537 | NEW JERSEY FOOT & ANKLE CNT. | $825.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0005890 | NEW JERSEY O & P | $4,520.00 | 0.0% | $0.00 | $0.00 | $172.00 | ($172.00) | $0.00 | $0.00 |
| Ancillary | APP0010519 | NEWARK UMDNJ-EMS | $24,138.00 | 34.5% | $8,335.00 | $5,556.67 | $2,375.00 | $3,181.67 | $1,113.58 | $1,113.58 |
| Ancillary | APP0009624 | NEWPORT CENTRE DENTAL | $4,885.00 | 81.7% | $3,992.75 | $2,661.83 | $182.05 | $2,479.78 | $867.92 | $867.92 |
| Ancillary | APP0009735 | SUSAN T. NGUYEN, D.D.S. | $6,150.00 | 26.0% | $1,599.35 | $1,066.23 | $0.00 | $1,066.23 | $373.18 | $0.00 |
| Ancillary | APP0010768 | NOBEL EYE GLASSES | $662.60 | 55.3% | $366.63 | $244.42 | $36.00 | $208.42 | $72.95 | $0.00 |
| Ancillary | APP0049441 | THOMAS J. NORDSTROM, M.D. | $325.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009622 | MICHAEL NOURBAKHASH, D.D.S. | $15,304.05 | 93.1% | $14,243.90 | $9,495.93 | $1,434.30 | $8,061.63 | $2,821.57 | $2,821.57 |
| Ancillary | APP0010544 | NOVA FACTOR INC. | $2,646.00 | 100.0% | $2,646.00 | $1,764.00 | $0.00 | $1,764.00 | $617.40 | $617.40 |
| Ancillary | APP0004906 | NU-DIMEMSIONS WOODBRIDGE | $13,645.00 | 10.8% | $1,475.45 | $983.63 | $214.50 | $769.13 | $269.20 | $0.00 |
| Ancillary | APP0009621 | NU-DIMENSIONS UNION | $2,705.00 | 22.8% | $615.75 | $410.50 | $69.60 | $340.90 | $119.32 | $0.00 |
| Ancillary | APP0002402 | OLD BRIDGE DENTAL | $2,599.60 | 20.6% | $534.40 | $356.27 | $0.00 | $356.27 | $124.69 | $0.00 |
| Ancillary | APP0009636 | BERNARD ORLOWSKI, D.D.S. | $10,840.00 | 31.4% | $3,407.80 | $2,271.87 | $1,350.80 | $921.07 | $322.37 | $0.00 |
| Ancillary | APP0009716 | DINA PAGE, D.D.S. | $629.00 | 79.3% | $499.00 | $332.67 | $72.50 | $260.17 | $91.06 | $0.00 |
| Ancillary | APP0004868 | PARAMUS DENTAL GROUP | $19,144.53 | 43.0% | $8,241.72 | $5,494.48 | $757.80 | $4,736.68 | $1,657.84 | $1,657.84 |
| Ancillary | APP0009661 | HARISH PATEL D.M.D. | $6,515.00 | 32.9% | $2,145.95 | $1,430.63 | $25.30 | $1,405.33 | $491.87 | $0.00 |
| Ancillary | APP0009666 | PATERSON COMMUNITY HEALTH CNTR | $2,719.51 | 74.4% | $2,022.96 | $1,348.64 | $305.35 | $1,043.29 | $365.15 | $0.00 |
| Ancillary | APP0008971 | PATERSON DENTAL GROUP | $2,195.00 | 150.8% | $3,309.50 | $2,206.33 | $232.10 | $1,974.23 | $690.98 | $690.98 |
| Ancillary | APP0010309 | PATIENT CARE MEDICAL SERVICES, INC. | $20,682.00 | 44.3% | $9,167.67 | $6,111.78 | $85.00 | $6,026.78 | $2,109.37 | $2,109.37 |
| Ancillary | APP0010548 | PATIENT CARE PLUS, INC | $4,050.00 | 59.3% | $2,400.00 | $1,600.00 | $0.00 | $1,600.00 | $560.00 | $560.00 |
| Ancillary | APP0009512 | VICTORIA PEDOEEM, D.D.S. | $11,132.00 | 34.6% | $3,850.60 | $2,567.07 | $4.00 | $2,563.07 | $897.07 | $897.07 |
| Ancillary | APP0010368 | CHRISTOPHER PELLINO, D.C. | $235.00 | 23.4% | $55.00 | $36.67 | $0.00 | $36.67 | $12.83 | $0.00 |
| Ancillary | APP0009676 | CLIDIA PEREZ, D.D.S. | $6,905.00 | 14.0% | $963.60 | $642.40 | $34.10 | $608.30 | $212.90 | $0.00 |
| Ancillary | APP0006119 | MICHAEL PERLMAN, D.P.M. | $25,113.00 | 15.9% | $3,999.85 | $2,666.57 | $0.00 | $2,666.57 | $933.30 | $933.30 |
| Ancillary | APP0004870 | MARK PIZZANO, D.D.S. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0008587 | PLAINFIELD DENTAL HEALTH CTR. | $12,109.70 | 74.5% | $9,023.75 | $6,015.83 | $136.95 | $5,878.88 | $2,057.61 | $2,057.61 |
| Ancillary | APP0010541 | PLAINFIELD RESCUE SQUAD, INC. | $11,984.50 | 20.2% | $2,424.50 | $1,616.33 | $0.00 | $1,616.33 | $565.72 | $565.72 |
| Ancillary | APP0009663 | MARC PLOTKIN, D.D.S. | $3,186.70 | 15.6% | $498.30 | $332.20 | $363.70 | ($31.50) | $0.00 | $0.00 |
| Ancillary | APP0001806 | POGORELEC CHIROPRACTIC ASSOC. | $1,500.00 | 60.7% | $910.04 | $606.69 | $0.00 | $606.69 | $212.34 | $0.00 |
| Ancillary | APP0009788 | USHA POLAVARAPU, D.D.S. | $1,084.55 | 99.4% | $1,077.95 | $718.63 | $0.00 | $718.63 | $251.52 | $0.00 |
| Ancillary | APP0009953 | POMARICO PHARMACY | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0007973 | JOSEPH PRASAD, D.M.D. | $29,260.00 | 9.0% | $2,628.45 | $1,752.30 | $91.30 | $1,661.00 | $581.35 | $581.35 |
| Ancillary | APP0049521 | PRATT RADIOLOGY ASSOCIATES | $30.00 | 15.0% | $4.50 | $3.00 | $0.00 | $3.00 | $1.05 | $0.00 |
| Ancillary | APP0010313 | PROFESSIONAL HEARING AID SERVICES | $166.00 | 54.8% | $91.00 | $60.67 | $376.90 | ($316.23) | $0.00 | $0.00 |
| Ancillary | APP0049323 | PROMPTCARE | $3,352.68 | 21.2% | $711.77 | $474.51 | $375.48 | $99.03 | $34.66 | $0.00 |
| Ancillary | APP0010754 | PSA HEALTH CARE | $9,354.45 | 57.5% | $5,377.78 | $3,585.19 | $0.00 | $3,585.19 | $1,254.82 | $1,254.82 |
| Ancillary | APP0006014 | SCOTT M. RABOY, DPM | $6,685.50 | 20.6% | $1,380.33 | $920.22 | $0.00 | $920.22 | $322.08 | $0.00 |
| Ancillary | APP0010367 | DANIEL RAFAEL, O.D. | $264.00 | 56.8% | $150.00 | $100.00 | $455.00 | ($355.00) | $0.00 | $0.00 |
| Ancillary | APP0005515 | LENNY RAMIREZ, D.P.M. | $1,849.00 | 27.0% | $499.50 | $333.00 | $608.17 | ($275.17) | $0.00 | $0.00 |
| Ancillary | APP0049353 | CHRISTINE REHM | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049469 | JOSE RAFAEL REYES, D.D.S. | $355.00 | 100.6% | $357.00 | $238.00 | $0.00 | $238.00 | $83.30 | $0.00 |
| Ancillary | APP0006358 | JEROME RICCIARDI, D.P.M. | $380.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009532 | ROBERTWOOD JOHNSON DENTAL CLINIC | $4,044.00 | 25.1% | $1,016.95 | $677.97 | $97.60 | $580.37 | $203.13 | $0.00 |
| Ancillary | APP0010582 | ANDREW RODGERS, D.C. | $2,045.00 | 72.1% | $1,475.00 | $983.33 | $0.00 | $983.33 | $344.17 | $0.00 |
| Ancillary | APP0049238 | MARK RODRIGUES, D.C. | $520.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049303 | LAURENCE ROSENBERG, M.D. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0005566 | PAUL ROSES, D.C. | $555.00 | 70.3% | $390.00 | $260.00 | $0.00 | $260.00 | $91.00 | $0.00 |
| Ancillary | APP0007325 | RICHARD ROTH, D.P.M. | $21,295.00 | 40.2% | $8,550.61 | $5,700.41 | $1,035.70 | $4,664.71 | $1,632.65 | $1,632.65 |
| Ancillary | APP0009677 | SAM RUBINSTEIN, D.D.S. | $569.10 | 98.7% | $561.50 | $374.33 | $0.00 | $374.33 | $131.02 | $0.00 |
| Ancillary | APP0009678 | BERTHA RUIZ-SARDELLI, D.M.D. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010728 | RUTGERS EMERGENCY MEDICAL SERVICE | $762.40 | 17.8% | $135.60 | $90.40 | $0.00 | $90.40 | $31.64 | $0.00 |
| Ancillary | APP0009538 | NADER SAAD, D.D.S. | $19,209.00 | 33.4% | $6,412.55 | $4,275.03 | $1,964.80 | $2,310.23 | $808.58 | $808.58 |
| Ancillary | APP0009648 | LOUIS SARDELLI D.D.S. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0001491 | SAVOY & SIEGEL, OD | $14,096.80 | 77.6% | $10,935.48 | $7,290.32 | $0.00 | $7,290.32 | $2,551.61 | $2,551.61 |
| Ancillary | APP0004873 | MICHAEL SCAGLIONE D.M.D. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009540 | IGNATIUS SCALIA, D.M.D. | $19,955.00 | 11.5% | $2,292.35 | $1,528.23 | $149.60 | $1,378.63 | $482.52 | $0.00 |
| Ancillary | APP0010394 | JEFF SCHAEFFER, O.D. | $6,849.00 | 15.6% | $1,069.40 | $712.93 | $765.00 | ($52.07) | $0.00 | $0.00 |
| Ancillary | APP0005942 | MARC SCHLEMOVITZ, D.P.M. | $115.00 | 73.9% | $85.00 | $56.67 | $0.00 | $56.67 | $19.83 | $0.00 |
| Ancillary | APP0001616 | MICHAEL A. SCHMIERER, M.D. | $2,780.00 | 5.5% | $154.00 | $102.67 | $0.00 | $102.67 | $35.93 | $0.00 |
| Ancillary | APP0010376 | MICHEAL SCHWARTZ, O.D. | $1,966.50 | 74.4% | $1,463.50 | $975.67 | $1,550.80 | ($575.13) | $0.00 | $0.00 |
| Ancillary | APP0009690 | JEFFREY SEIGER, D.M.D. | $12,583.00 | 15.1% | $1,905.00 | $1,270.00 | $435.60 | $834.40 | $292.04 | $0.00 |
| Ancillary | APP0009499 | R. D. SELDIN, D.M.D. | $1,897.50 | 41.2% | $781.20 | $520.80 | $65.60 | $455.20 | $159.32 | $0.00 |
| Ancillary | APP0009728 | HITESH SHAH, D.D.S. | $5,300.80 | 45.0% | $2,387.10 | $1,591.40 | $0.00 | $1,591.40 | $556.99 | $556.99 |
| Ancillary | APP0008101 | CARNIG SHAKARJLAN, D.P.M. | $385.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009553 | LEONARD SHAW, D.D.S. | $25,770.00 | 19.2% | $4,948.90 | $3,299.27 | $560.30 | $2,738.97 | $958.64 | $958.64 |
| Ancillary | APP0007960 | SHELTON DENTAL SERVICES | $25,484.00 | 14.6% | $3,721.65 | $2,481.10 | $231.00 | $2,250.10 | $787.53 | $787.53 |
| Ancillary | APP0009582 | CHING SHIEH, D.M.D. | $16,934.20 | 91.7% | $15,526.50 | $10,351.00 | $5,920.90 | $4,430.10 | $1,550.53 | $1,550.53 |
| Ancillary | APP0049399 | THOMAS SIDOTI, M.D. | $515.00 | 24.3% | $125.00 | $83.33 | $0.00 | $83.33 | $29.17 | $0.00 |
| Ancillary | APP0009784 | HOWARD SILVER, D.D.S. | $110.00 | 24.0% | $26.40 | $17.60 | $0.00 | $17.60 | $6.16 | $0.00 |
| Ancillary | APP0007285 | JEFFREY SIMON D.P.M. | $520.00 | 31.3% | $163.00 | $108.67 | $136.00 | ($27.33) | $0.00 | $0.00 |
| Ancillary | APP0007286 | HENRY SLOMOWITZ, D.P.M. | $1,000.00 | 20.5% | $205.33 | $136.89 | $0.00 | $136.89 | $47.91 | $0.00 |
| Ancillary | APP0008970 | SMILE USA | $10,129.66 | 83.2% | $8,429.66 | $5,619.77 | $7,656.50 | ($2,036.73) | $0.00 | $0.00 |
| Ancillary | APP0001438 | SOUTH WASHINGTON DENTAL | $17,052.00 | 14.9% | $2,534.05 | $1,689.37 | $0.00 | $1,689.37 | $591.28 | $591.28 |
| Ancillary | APP0009681 | ANTHONY SPAIN, D.D.S. | $13,940.00 | 18.5% | $2,574.40 | $1,716.27 | $245.30 | $1,470.97 | $514.84 | $514.84 |
| Ancillary | APP0008300 | SPECIALIZED THERAPY ASSOCIATES | $880.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0009609 | MARK SPIERER D.D.S. | $550.00 | 10.6% | $58.20 | $38.80 | $0.00 | $38.80 | $13.58 | $0.00 |
| Ancillary | APP0008589 | ST. FRANCIS DENTAL | $59,105.00 | 15.2% | $9,009.50 | $6,006.33 | $13,959.95 | ($7,953.62) | $0.00 | $0.00 |
| Ancillary | APP0000736 | ST. MICHAELS FAMILY HEALTH CENTER | $151,435.39 | 28.0% | $42,420.04 | $28,280.03 | $0.00 | $28,280.03 | $9,898.01 | $9,898.01 |
| Ancillary | APP0009699 | JOEL STORM, D.D.S. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010450 | STRULOWITZ & GARGIULO RPT | $313.67 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0049391 | SUBURBAN PHYSICAL THERAPY CTR | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0006979 | SUMMIT RIDGE NURSING & REHAB. | $580.00 | 100.0% | $580.00 | $386.67 | $0.00 | $386.67 | $135.33 | $0.00 |
| Ancillary | APP0009610 | JEFFREY SUNG D.M.D. | $1,784.00 | 112.6% | $2,008.30 | $1,338.87 | $522.90 | $815.97 | $285.59 | $0.00 |
| Ancillary | APP0009718 | RICHARD SZUMITA, D.D.S. | $34,829.00 | 12.3% | $4,267.70 | $2,845.13 | $624.80 | $2,220.33 | $777.12 | $777.12 |
| Ancillary | APP0010630 | TAKE GOOD CARE | $835.00 | 100.0% | $835.00 | $556.67 | $0.00 | $556.67 | $194.83 | $0.00 |
| Ancillary | APP0010430 | THE PROMPTCARE COMPANIES-CLARK | $0.00 | 0.0% | $0.00 | $0.00 | $375.48 | ($375.48) | $0.00 | $0.00 |
| Ancillary | APP0009611 | LOUIS TRATENBERG D.D.S. | $641.50 | 65.3% | $419.10 | $279.40 | $76.00 | $203.40 | $71.19 | $0.00 |
| Ancillary | APP0010353 | TRAVEL CARE | $58.00 | 0.0% | $0.00 | $0.00 | $150.00 | ($150.00) | $0.00 | $0.00 |
| Ancillary | APP0010762 | TRINITY HOMECARE N.Y.S REG | $5,087.69 | 27.1% | $1,378.01 | $918.67 | $0.00 | $918.67 | $321.53 | $0.00 |
| Ancillary | APP0010738 | TRIUMPH INVALID COACH | $8,114.50 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010842 | UMDNJ UNIVERSITY HOSP-OP | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0008685 | UMDNJ-RWJ UNIVERSITY DIAG. LABS. | $1,501.50 | 0.0% | $0.00 | $0.00 | $22.61 | ($22.61) | $0.00 | $0.00 |
| Ancillary | APP0001673 | UNION PLAINFIELD MEDICAL ASSOC | $1,110.00 | 47.7% | $530.00 | $353.33 | $85.00 | $268.33 | $93.92 | $0.00 |
| Ancillary | APP0010715 | UNITED MEDICAL LAB | $18,121.50 | 12.0% | $2,168.50 | $1,445.67 | $0.00 | $1,445.67 | $505.98 | $505.98 |
| Ancillary | APP0009723 | VALBOR DENTAL CENTER | $3,442.60 | 82.7% | $2,847.40 | $1,898.27 | $54.00 | $1,844.27 | $645.49 | $645.49 |
| Ancillary | APP0006177 | VALLEY HOME CARE INC. | $6,731.00 | 20.3% | $1,367.00 | $911.33 | $340.00 | $571.33 | $199.97 | $0.00 |
| Ancillary | APP0009613 | SURENDRA VASHI D.M.D. | $593.45 | 105.9% | $628.65 | $419.10 | $111.65 | $307.45 | $107.61 | $0.00 |
| Ancillary | APP0009633 | JOSEPH VENDITTO, D.M.D. | $3,297.55 | 98.0% | $3,231.60 | $2,154.40 | $44.00 | $2,110.40 | $738.64 | $738.64 |
| Ancillary | APP0010701 | VAN VINCIGUERRA, O.D. | $0.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0010461 | VISITING HEALTH SERVICES OF NJ, INC. | $4,294.62 | 70.5% | $3,025.83 | $2,017.22 | $2,520.13 | ($502.91) | $0.00 | $0.00 |
| Ancillary | APP0010529 | VISITING NURSE ASSOCIATION OF CENTRAL JERSEY | $6,035.00 | 112.0% | $6,760.00 | $4,506.67 | $0.00 | $4,506.67 | $1,577.33 | $1,577.33 |
| Ancillary | APP0010527 | VISITING NURSE ASSOCIATION OF ESSEX VALLEY | $19,157.00 | 42.4% | $8,123.67 | $5,415.78 | $85.00 | $5,330.78 | $1,865.77 | $1,865.77 |
| Ancillary | APP0010766 | VISITING NURSE SERVICE OF N.Y. | $2,100.00 | 0.0% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ancillary | APP0006179 | VNA OF NEW JERSEY | $54,840.10 | 95.2% | $52,225.04 | $34,816.69 | $37,975.00 | ($3,158.31) | $0.00 | $0.00 |
| Ancillary | APP0006097 | VNA OF NORTHERN NEW JERSEY | $250.00 | 100.0% | $250.00 | $166.67 | $0.00 | $166.67 | $58.33 | $0.00 |
| Ancillary | APP0010380 | JOHN VOLPE, O.D. | $183.00 | 90.2% | $165.00 | $110.00 | $135.00 | ($25.00) | $0.00 | $0.00 |
| Ancillary | APP0009525 | KEVIN WARD, D.D.S. | $13,778.30 | 59.4% | $8,181.50 | $5,454.33 | $9,182.70 | ($3,728.37) | $0.00 | $0.00 |
| Ancillary | APP0004895 | WASHINGTON PARK DENTAL | $11,313.95 | 78.6% | $8,894.00 | $5,929.33 | $130.90 | $5,798.43 | $2,029.45 | $2,029.45 |
| Ancillary | APP0009536 | JEROME WEISS, D.D.S. | $1,084.20 | 160.4% | $1,739.00 | $1,159.33 | $1,936.40 | ($777.07) | $0.00 | $0.00 |
| Ancillary | APP0005915 | MATTHEW WELCH, D.P.M. | $1,086.00 | 43.1% | $468.00 | $312.00 | $75.00 | $237.00 | $82.95 | $0.00 |
| Ancillary | APP0002096 | WELL HEALTH REHABILITATION | $100.00 | 83.3% | $83.32 | $55.55 | $0.00 | $55.55 | $19.44 | $0.00 |
| Ancillary | APP0010244 | WILLIAMS PHARMACY | $4,000.00 | 14.3% | $570.78 | $380.52 | $139.60 | $240.92 | $84.32 | $0.00 |
| Ancillary | APP0009581 | D. WOLMER, D.D.S. | $7,497.00 | 31.2% | $2,339.15 | $1,559.43 | $146.85 | $1,412.58 | $494.40 | $0.00 |
| Ancillary | APP0009528 | ANGELIC WONG, D.D.S. | $32,799.50 | 23.2% | $7,618.95 | $5,079.30 | $11,620.60 | ($6,541.30) | $0.00 | $0.00 |
| Ancillary | APP0009795 | IBRAHEIM YASSEIN, D.D.S. | $12,332.50 | 87.9% | $10,839.25 | $7,226.17 | $0.00 | $7,226.17 | $2,529.16 | $2,529.16 |
| Ancillary | APP0009755 | ELVIS ZAKAIM, D.D.S. | $2,210.00 | 26.7% | $590.15 | $393.43 | $0.00 | $393.43 | $137.70 | $0.00 |
| TOTALS | $2,741,045.05 | $1,008,951.17 | $672,634.15 | $322,768.28 | $349,865.87 | $170,061.00 | $151,002.71 |