RICHARD CARL GOLEMBIOSKI, DMD

NPI 1831107150, individual, Vernon, NJ, Dentist

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since November 4, 2020.
Medicaid still paid claims in 48 later months, $565,117 in total.

score 96 of 100, rank 78, $565K at stake

Public list actions

Medicare revocation effective November 4, 2020, barred from re-enrolling until November 4, 2030

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Order And Referring Only - Oral Surgery, NJ

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Nov 4, 2020	Nov 4, 2030	48	Dec 2020	Nov 2024	$565K	$89K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	RICHARD CARL GOLEMBIOSKI, DMD
Type	Individual
Status	Active
NPI issued	August 3, 2006, last updated July 8, 2007
Practice location	5 ROUTE 94, SUITE A, Vernon, NJ 07462-3805, 973-827-0234
Specialties	Dentist (122300000X, primary, license DI0015355 NJ)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
D2750	Medicaid service code	$196K	22%	$805	$675 (top 5% from $1K)	77th percentile
D1110	Medicaid service code	$163K	18%	$49	$45 (top 5% from $86)	58th percentile
D0120	Medicaid service code	$106K	12%	$28	$26 (top 5% from $63)	65th percentile
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated	$95K	10%	$226	$213 (top 5% from $539)	55th percentile
D0210	Medicaid service code	$65K	7%	$64	$47 (top 5% from $78)	82nd percentile
D0150	Medicaid service code	$40K	4%	$32	$35 (top 5% from $66)	42nd percentile
D1120	Medicaid service code	$34K	4%	$33	$34 (top 5% from $51)	44th percentile
D2392	Medicaid service code	$33K	4%	$101	$126 (top 5% from $259)	25th percentile

In this area

143 providers in NJ carry an indicator in the public record, with $134.0M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 23. 29 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	INFINITY DIAGNOSTICS LABORATORY, INC Teterboro, NJ, ranked 3	$1.0M	Listed on the Medicare revocation list and the NY Medicaid exclusion list since October 31, 2022. Medicaid still paid claims in 7 later months, $1,043,387 in total. and 1 more
1	PAIN SPECIALISTS, PA Northfield, NJ, ranked 108	$237K	Adjudicated (pleaded guilty) per a Department of Justice release dated March 20, 2025. Medicaid paid $236,686 in the last 12 observed months.
1	MALINI RAO New Brunswick, NJ, ranked 156	$85K	Listed on the NY Medicaid exclusion list since April 18, 2019. Medicaid still paid claims in 27 later months, $84,962 in total.
1	REVIVE SPINE AND PAIN CENTER Marlton, NJ, ranked 211	$36K	Listed on the Medicare revocation list since September 5, 2024. Medicaid still paid claims in 3 later months, $35,551 in total.
1	TIMOTHY ALDRICH Succasunna, NJ, ranked 266	$13K	Listed on the NY Medicaid exclusion list since October 25, 2023. Medicaid still paid claims in 5 later months, $12,879 in total.
1	FAZAL PANEZAI Matawan, NJ, ranked 271	$12K	Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated April 12, 2024. Medicaid paid $12,149 in the last 12 observed months.
1	GOLDIS GERIATRICS P.C. Stratford, NJ, ranked 274	$12K	Listed on the Medicare revocation list since June 25, 2020. Medicaid still paid claims in 13 later months, $12,047 in total.
1	RAMESH SARVAIYA Woodbury, NJ, ranked 291	$10K	Listed on the Medicare revocation list since April 12, 2019. Medicaid still paid claims in 14 later months, $9,635 in total.

All 143 in NJ

Recent enforcement in NJ

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJul 29, 2026

Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks

DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.

DOJIndictedJul 29, 2026

Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks

DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.

DOJChargedJul 9, 2026

Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme

A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.

DOJPleaded guiltyJun 24, 2026

Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury

A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.

DOJSentencedMay 21, 2026

New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak

Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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