Dental
Reliant Dental Group PC
Reliant Dental Group PC was paid $724.00 by Medicaid between Nov 2024 and Nov 2024, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoRELIANT DENTAL GROUP PC
WEST ROXBURY, MA 02132
WEST ROXBURY, MA 02132
33aNPI1104399443assigned 01/09/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$724.00
24GClaims14
24DCodes billed1
24AFirst – last monthNov 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#651 of 693
Median peer was paid$87K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 14 | $724.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 14 | 14 | $724.00 |
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 officialSOARES, THIAGO (ADMINISTRATOR)
Parent organizationRELIANT DENTAL GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Gustavo Perdomo DMD PC | West Roxbury, MA | $319.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.