Dental
Cedar Brook Pediatric Dentistry PLLC
Cedar Brook Pediatric Dentistry PLLC was paid $35K by Medicaid between Jun 2023 and Nov 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoCEDAR BROOK PEDIATRIC DENTISTRY PLLC
SOUTHBOROUGH, MA 01772
SOUTHBOROUGH, MA 01772
33aNPI1003579277assigned 10/14/2021
33bProvider typePediatric Dentist
28Total paid$35K
24GClaims953
24DCodes billed7
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#122 of 144
Median peer was paid$511K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 210 | $7K | |
| 2024incomplete | 743 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 299 | 289 | $15K |
| D1206 | Topical application of fluoride varnish | 26% | 348 | 333 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 59 | 57 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 97 | 96 | $3K |
| D0272 | Bitewings - two radiographic images | 7.7% | 90 | 88 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 45 | 41 | $931.00 |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 15 | 15 | $735.00 |
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 officialLA, NAOMI (PRACTICE OWNER)