Atlantis Dental LLC

Atlantis Dental LLC was paid $68K by Medicaid between Jan 2018 and Jan 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoATLANTIS DENTAL LLC
FRAMINGHAM, MA 01702

33aNPI1003952839assigned 01/29/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$68K

24GClaims2,042

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#367 of 693

Median peer was paid$87K

This provider vs. median0.8×

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	933	$30K
2019	701	$24K
2020	365	$12K
2021	43	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	583	555	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	599	573	$16K
D1206	Topical application of fluoride varnish	23%	654	623	$16K
D0274	Bitewings - four radiographic images	8.8%	145	144	$6K
D1351	Sealant - per tooth	2.5%	49	14	$2K
D1110	Prophylaxis - adult	1.0%	12	12	$700.00

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 officialLIPOVETSKIY, BORIS (DENTIST)