Dental
My Dental Revere PC
My Dental Revere PC was paid $990K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 21% of everything it billed.
33Billing provider infoMY DENTAL REVERE PC
SAUGUS, MA 01906
SAUGUS, MA 01906
33aNPI1053765412assigned 04/21/2016
33bProvider typeDentist
28Total paid$990K
24GClaims21,441
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#70 of 413
Median peer was paid$93K
This provider vs. median11×
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 | 2,493 | $69K | |
| 2019 | 2,918 | $100K | |
| 2020 | 1,823 | $51K | |
| 2021 | 2,839 | $101K | |
| 2022 | 4,158 | $301K | |
| 2023 | 4,826 | $263K | |
| 2024incomplete | 2,384 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 21% | 310 | 193 | $211K |
| D1110 | Prophylaxis - adult | 15% | 2,995 | 2,754 | $148K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 1,046 | 565 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 3,177 | 2,976 | $74K |
| D0274 | Bitewings - four radiographic images | 5.4% | 1,472 | 1,421 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 1,171 | 1,071 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 3,498 | 3,190 | $53K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 1,251 | 1,129 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,048 | 951 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 799 | 322 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 1,373 | 1,274 | $38K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 2,365 | 2,103 | $30K |
9 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 439 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.3% | 196 | $23K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.1% | 34 | $21K |
| D2954 | 1.7% | 97 | $17K | |
| D2950 | 1.4% | 92 | $14K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.0% | 18 | $10K |
| D3320 | <1% | 16 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $416.00 |
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 officialDESANEEDI, SRINIVAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| My Dental New Bedford | New Bedford, MA | $2.74M |
| My Dental Danvers PC | Danvers, MA | $1.65M |
| Norton Dental PC | Norton, MA | $1.40M |
| My Dental LLC | Waltham, MA | $1.22M |
| SVK Dental PC | Springfield, MA | $1.18M |
| My Dental Lawrence PLLC | Lawrence, MA | $1.07M |
| My Dental Southbridge PLLC | Southbridge, MA | $769K |
| My Dental Watertown | Watertown, MA | $220K |
| My Dental Somerville | Somerville, MA | $215K |
| My Dental East Boston | East Boston, MA | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.