Dental
Dibenedetto, David
Dibenedetto, David was paid $2K by Medicaid between Feb 2018 and Apr 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.
33Billing provider infoDIBENEDETTO, DAVID
PEMBROKE, MA 02359
PEMBROKE, MA 02359
33aNPI1134167323assigned 06/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims93
24DCodes billed3
24AFirst – last monthFeb 2018 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#603 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 | |
|---|---|---|---|
| 2018 | 15 | $302.00 | |
| 2019 | 13 | $350.00 | |
| 2020 | 53 | $1K | |
| 2022 | 12 | $314.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 62% | 53 | 51 | $1K |
| D1110 | Prophylaxis - adult | 38% | 13 | 13 | $805.00 |
| D1999 | 0% | 27 | 26 | $0.00 |
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.