Dental
Children's Dentistry and Orthodontics of Chicopee 1 LLC
Children's Dentistry and Orthodontics of Chicopee 1 LLC was paid $11.31M by Medicaid between Jun 2022 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY AND ORTHODONTICS OF CHICOPEE 1 LLC
CHICOPEE, MA 01020
CHICOPEE, MA 01020
33aNPI1134861263assigned 04/09/2022
33bProvider typeDentist
28Total paid$11.31M
24GClaims226,888
24DCodes billed32
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#2 of 413
Median peer was paid$93K
This provider vs. median121×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 44,532 | $2.36M | |
| 2023 | 92,410 | $4.52M | |
| 2024incomplete | 89,946 | $4.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 11,009 | 3,995 | $2.16M |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 34,240 | 33,899 | $1.74M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 8,506 | 5,789 | $974K |
| D1206 | Topical application of fluoride varnish | 8.4% | 36,114 | 35,745 | $945K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 31,084 | 30,773 | $896K |
| D0272 | Bitewings - two radiographic images | 6.3% | 23,780 | 23,534 | $708K |
| D1351 | Sealant - per tooth | 5.6% | 15,549 | 5,499 | $628K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 6,137 | 3,982 | $567K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.2% | 4,684 | 1,853 | $477K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 4,579 | 3,008 | $466K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 5,213 | 5,162 | $311K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 6,245 | 6,144 | $278K |
20 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 12,145 | $253K |
| D1110 | Prophylaxis - adult | 2.2% | 3,604 | $246K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 9,270 | $183K |
| D0330 | Panoramic radiographic image | 1.1% | 1,770 | $119K |
| D1354 | <1% | 5,294 | $73K | |
| D2330 | <1% | 661 | $61K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,682 | $48K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 324 | $41K |
| D7111 | <1% | 453 | $34K | |
| D1510 | <1% | 111 | $24K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 772 | $20K |
| D3120 | <1% | 433 | $17K | |
| D2929 | <1% | 76 | $16K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 295 | $9K |
| D7962 | <1% | 15 | $5K | |
| D2390 | <1% | 29 | $4K | |
| D2331 | <1% | 27 | $3K | |
| D0270 | <1% | 59 | $935.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $598.00 |
| D9410 | 0% | 715 | $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.
From NPPES
Who's on the registration
Authorized officialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Gentle Dental Gratiot Ave PLLC | Detroit, MI | $4.52M |
| Pdom Elkton | Elkton, MD | $4.44M |
| Pdom Havre De Grace | Havre De Grace, MD | $4.29M |
| Dental Center of Goshen PLLC | Goshen, IN | $3.23M |
| Gentle Dental Grand River PLLC | Detroit, MI | $2.49M |
| Pediatric Dentistry and Orthodontics of Maryland LLC | Glen Burnie, MD | $1.99M |
| Gentle Dental Westland PLLC | Westland, MI | $1.60M |
| Konikoff Dental Associates, INC. | Virginia Beach, VA | $1.34M |
| Dental Care Alliance LLC | Sarasota, FL | $838K |
| Gentle Dental Shores PLLC | Saint Clair Shores, MI | $754K |
| Family Dental Group Associates PLLC | Flint, MI | $703K |
| Gentle Dental Warren PLLC | Warren, MI | $559K |
| Gentle Dental Bay PLLC | New Baltimore, MI | $305K |
| Gentle Dental Thorndale LLC | Thorndale, PA | $237K |
| Gentle Dental Shelby PLLC | Shelby Township, MI | $150K |
| Westland- Wayne P.C. | Westland, MI | $70K |
| Detroit - Gratiot P.C. | Detroit, MI | $24K |
| Dental One Associates (Westminster) PC | Westminster, MD | $7K |
| Dental One Associates Woodbridge PC | Woodbridge, VA | $3K |
| Germantown Dental Associates | Philadelphia, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.