Clinic
Winchendon Family Dental PC
Winchendon Family Dental PC was paid $1K by Medicaid between Jun 2022 and Jun 2022, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 66% of everything it billed.
33Billing provider infoWINCHENDON FAMILY DENTAL PC
WINCHENDON, MA 01475
WINCHENDON, MA 01475
33aNPI1154821270assigned 02/15/2018
33bProvider typeDental Clinic/Center
28Total paid$1K
24GClaims28
24DCodes billed2
24AFirst – last monthJun 2022 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#293 of 307
Median peer was paid$245K
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 | |
|---|---|---|---|
| 2022 | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 66% | 14 | 14 | $770.00 |
| D1206 | Topical application of fluoride varnish | 34% | 14 | 14 | $392.00 |
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 officialELNAZER, MOHAMED (OWNER)