Dental
Sage Family Dental
Sage Family Dental was paid $50K by Medicaid between Oct 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoSAGE FAMILY DENTAL
DORCHESTER, MA 02121
DORCHESTER, MA 02121
33aNPI1134652175assigned 04/06/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$50K
24GClaims1,692
24DCodes billed9
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#400 of 693
Median peer was paid$87K
This provider vs. median0.6×
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 | 12 | $609.00 | |
| 2019 | 107 | $4K | |
| 2020 | 70 | $2K | |
| 2021 | 522 | $14K | |
| 2022 | 487 | $12K | |
| 2023 | 206 | $6K | |
| 2024incomplete | 288 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 472 | 459 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 490 | 475 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 297 | 152 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 208 | 199 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 69 | 66 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 53 | 50 | $2K |
| D0274 | Bitewings - four radiographic images | 3.5% | 49 | 49 | $2K |
| D1206 | Topical application of fluoride varnish | 1.9% | 38 | 38 | $936.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | 13 | $403.00 |
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 officialJEAN-MARIE, SHEINA (PRESIDENT)