Dental
Davis Square Dental Specialists LLC
Davis Square Dental Specialists LLC was paid $652K by Medicaid between Jan 2020 and Nov 2024, across 13 billing codes. Its largest line is D4210, — 36% of everything it billed.
33Billing provider infoDAVIS SQUARE DENTAL SPECIALISTS LLC
LOWELL, MA 01851
LOWELL, MA 01851
33aNPI1124664537assigned 11/20/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$652K
24GClaims11,193
24DCodes billed13
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#153 of 693
Median peer was paid$87K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2020 | 999 | $105K | |
| 2021 | 2,514 | $153K | |
| 2022 | 2,581 | $154K | |
| 2023 | 2,697 | $125K | |
| 2024incomplete | 2,402 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4210 | 36% | 734 | 355 | $234K | |
| D1110 | Prophylaxis - adult | 13% | 1,326 | 1,301 | $84K |
| D0274 | Bitewings - four radiographic images | 10% | 1,641 | 1,613 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 594 | 252 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 619 | 214 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 1,823 | 1,789 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 629 | 615 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 971 | 960 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 1,784 | 1,683 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 802 | 789 | $22K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 245 | 241 | $11K |
| D0180 | <1% | 12 | 12 | $696.00 |
1 more codes
| D1120 | Dental cleaning, child | <1% | 13 | $550.00 |
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 officialMASIELLO, JULIANA (CORPORATE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| The Braces Place of Lawrence | Lynn, MA | $2.20M |
| Davis Square Dental Specialists | Lynn, MA | $832K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.