Dynamic Dental P.C.

Dynamic Dental P.C. was paid $133K by Medicaid between Jan 2018 and Mar 2019, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoDYNAMIC DENTAL P.C.
MANSFIELD, MA 02048

33aNPI1134367584assigned 01/22/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$133K

24GClaims3,510

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#303 of 693

Median peer was paid$87K

This provider vs. median1.5×

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
2018	2,751	$106K
2019	759	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	28%	803	764	$37K
D1208	Topical application of fluoride, excluding varnish	22%	1,115	1,046	$30K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	999	936	$26K
D8670	Periodic orthodontic treatment visit	12%	88	70	$17K
D1110	Prophylaxis - adult	9.2%	199	188	$12K
D0274	Bitewings - four radiographic images	5.3%	189	175	$7K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	43	38	$2K
D1351	Sealant - per tooth	1.3%	46	12	$2K
D0272	Bitewings - two radiographic images	<1%	14	14	$420.00
D1206	Topical application of fluoride varnish	<1%	14	14	$364.00

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 officialOUTERICKA, EDITA (PRESIDENT)