Dental
Commonwealth Pediatric Dental PC
Commonwealth Pediatric Dental PC was paid $95K by Medicaid between Jul 2018 and Aug 2020, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.
33Billing provider infoCOMMONWEALTH PEDIATRIC DENTAL PC
DARTMOUTH, MA 02747
DARTMOUTH, MA 02747
33aNPI1003263088assigned 05/19/2016
33bProvider typePediatric Dentist
28Total paid$95K
24GClaims2,726
24DCodes billed7
24AFirst – last monthJul 2018 – Aug 2020
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#110 of 144
Median peer was paid$511K
This provider vs. median0.2×
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 | 826 | $29K | |
| 2019 | 1,599 | $55K | |
| 2020 | 301 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 43% | 838 | 828 | $40K |
| D1206 | Topical application of fluoride varnish | 26% | 952 | 944 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 703 | 699 | $20K |
| D9110 | 5.3% | 69 | 69 | $5K | |
| D0272 | Bitewings - two radiographic images | 3.9% | 133 | 132 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 17 | 17 | $986.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 14 | $280.00 |
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 officialMURPHY, RAYMOND (OWNER)
Parent organizationCOMMONWEALTH PEDIATRIC DENTAL PC
| Provider | Location | Paid |
|---|---|---|
| Commonwealth Pediatric Dental | Raynham, MA | $4.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.