Dental
Mystic Dental Studio PC
Mystic Dental Studio PC was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoMYSTIC DENTAL STUDIO PC
CHELSEA, MA 02150
CHELSEA, MA 02150
33aNPI1083046114assigned 07/31/2013
33bProvider typeDentist
28Total paid$1.93M
24GClaims43,068
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#33 of 413
Median peer was paid$93K
This provider vs. median21×
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 | 4,542 | $170K | |
| 2019 | 5,426 | $199K | |
| 2020 | 7,016 | $306K | |
| 2021 | 8,070 | $380K | |
| 2022 | 6,730 | $344K | |
| 2023 | 6,442 | $295K | |
| 2024incomplete | 4,842 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 5,269 | 1,187 | $395K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,168 | 4,687 | $229K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 8,327 | 7,653 | $221K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 6,184 | 5,709 | $159K |
| D1110 | Prophylaxis - adult | 8.0% | 3,141 | 2,748 | $155K |
| D0274 | Bitewings - four radiographic images | 7.3% | 3,930 | 3,528 | $141K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 1,153 | 502 | $105K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 1,041 | 472 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 1,772 | 1,516 | $75K |
| D0330 | Panoramic radiographic image | 3.5% | 1,724 | 1,443 | $68K |
| D9110 | 2.7% | 919 | 735 | $52K | |
| D2740 | Crown - porcelain/ceramic | 2.6% | 98 | 47 | $50K |
11 more codes
| D2140 | 2.4% | 823 | $47K | |
| D1351 | Sealant - per tooth | 2.1% | 1,329 | $40K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 692 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 341 | $26K |
| D8670 | Periodic orthodontic treatment visit | <1% | 71 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 398 | $7K |
| D7111 | <1% | 92 | $5K | |
| D0270 | <1% | 339 | $5K | |
| D4342 | <1% | 61 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 152 | $4K |
| D2330 | <1% | 44 | $3K |
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 officialPADRON, AIDA (OWNER)