Dental
Hathaway Road Dental, PC
Hathaway Road Dental, PC was paid $7.18M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoHATHAWAY ROAD DENTAL, PC
HOLYOKE, MA 04010
HOLYOKE, MA 04010
33aNPI1154529071assigned 07/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$7.18M
24GClaims145,370
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#13 of 693
Median peer was paid$87K
This provider vs. median82×
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 JACOMINO, MICHELLE 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 | |
|---|---|---|---|
| 2018 | 30,717 | $1.55M | |
| 2019 | 26,466 | $1.53M | |
| 2020 | 22,751 | $995K | |
| 2021 | 23,263 | $1.04M | |
| 2022 | 9,750 | $456K | |
| 2023 | 17,783 | $836K | |
| 2024incomplete | 14,640 | $766K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 15,518 | 15,490 | $801K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 21,057 | 20,987 | $601K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 5,695 | 3,690 | $583K |
| D1110 | Prophylaxis - adult | 8.1% | 9,095 | 9,051 | $582K |
| D8670 | Periodic orthodontic treatment visit | 8.0% | 2,320 | 2,287 | $573K |
| D1206 | Topical application of fluoride varnish | 7.6% | 20,773 | 20,709 | $545K |
| D1351 | Sealant - per tooth | 7.3% | 13,085 | 4,848 | $528K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.1% | 2,178 | 1,232 | $437K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 4,733 | 3,271 | $390K |
| D0274 | Bitewings - four radiographic images | 5.2% | 8,969 | 8,943 | $370K |
| D0272 | Bitewings - two radiographic images | 3.4% | 8,032 | 8,010 | $242K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 2.8% | 178 | 177 | $204K |
26 more codes
| D0330 | Panoramic radiographic image | 2.7% | 4,708 | $193K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 3,344 | $147K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 2,705 | $113K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 6,093 | $110K |
| D2740 | Crown - porcelain/ceramic | 1.5% | 152 | $108K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 647 | $93K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 695 | $77K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 786 | $75K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 196 | $68K |
| D8690 | <1% | 462 | $60K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,404 | $50K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 778 | $50K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,402 | $49K |
| D7111 | <1% | 512 | $40K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 210 | $19K |
| D2332 | <1% | 158 | $18K | |
| D8680 | <1% | 209 | $17K | |
| D0270 | <1% | 785 | $10K | |
| D2330 | <1% | 113 | $9K | |
| D2335 | <1% | 38 | $6K | |
| D2140 | <1% | 60 | $4K | |
| D8999 | <1% | 58 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 15 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | $465.00 |
| D1999 | 0% | 5,164 | $0.00 | |
| D9310 | 0% | 28 | $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 officialJACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Tremont Road Dental, PC | Newport News, VA | $85.04M |
| Tremont Road Dental Super, P.C. | Norfolk, VA | $63.58M |
| Wolcott Street Dental-2, PC | Waterbury, CT | $21.04M |
| Hathaway Road Dental, PC | Springfield, MA | $18.79M |
| Wolcott Street Dental-1, PC | New Britain, CT | $15.20M |
| Hathaway Road Dental, PC | Chelsea, MA | $10.26M |
| Hathaway Road Dental, PC | Roxbury, MA | $9.05M |
| Hathaway Road Dental, PC | New Bedford, MA | $8.69M |
| Hathaway Road Dental, PC | Fall River, MA | $7.72M |
| Hathaway Road Dental, PC | Brockton, MA | $6.08M |
| Tremont Road Dental, PC | Danville, VA | $113K |
| Tremont Road Dental, PC | Hampton, VA | $76K |
| Tremont Road Dental, PC | Norfolk, VA | $69K |
| Tremont Road Dental, PC | Richmond, VA | $66K |
| Tremont Road Dental, PC | Virginia Beach, VA | $66K |
| Tremont Road Dental Super, P.C. | Richmond, VA | $62K |
| Tremont Road Dental, PC | Norfolk, VA | $61K |
| Tremont Road Dental Super, P.C. | Portsmouth, VA | $56K |
| Tremont Road Dental Super, P.C. | Christiansburg, VA | $55K |
| Tremont Road Dental, PC | Roanoke, VA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.