Dental
Advanced Dental Spa
Advanced Dental Spa was paid $6.86M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 48% of everything it billed.
33Billing provider infoADVANCED DENTAL SPA
NEW BEDFORD, MA 02740
NEW BEDFORD, MA 02740
33aNPI1164621793assigned 07/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$6.86M
24GClaims104,992
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#15 of 693
Median peer was paid$87K
This provider vs. median79×
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 | 16,643 | $580K | |
| 2019 | 16,395 | $524K | |
| 2020 | 11,550 | $340K | |
| 2021 | 14,278 | $632K | |
| 2022 | 14,833 | $1.27M | |
| 2023 | 16,827 | $2.09M | |
| 2024incomplete | 14,466 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 48% | 4,659 | 1,416 | $3.29M |
| D1110 | Prophylaxis - adult | 8.7% | 11,805 | 11,322 | $599K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 4,636 | 3,218 | $351K |
| D0274 | Bitewings - four radiographic images | 4.7% | 9,382 | 9,024 | $324K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 10,876 | 10,441 | $250K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 15,904 | 15,078 | $246K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 4,591 | 4,469 | $219K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 16,141 | 12,832 | $201K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.9% | 365 | 193 | $199K |
| D2950 | 2.4% | 1,022 | 535 | $162K | |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 4,377 | 4,131 | $161K |
| D1206 | Topical application of fluoride varnish | 2.3% | 6,160 | 5,961 | $157K |
18 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 2,340 | $135K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 1,914 | $132K |
| D0180 | 1.5% | 3,015 | $106K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 2,457 | $91K |
| D0272 | Bitewings - two radiographic images | <1% | 1,677 | $46K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 586 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 424 | $27K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 204 | $27K |
| D0330 | Panoramic radiographic image | <1% | 602 | $26K |
| D2331 | <1% | 356 | $25K | |
| D1351 | Sealant - per tooth | <1% | 276 | $10K |
| D2330 | <1% | 141 | $9K | |
| D9110 | <1% | 164 | $7K | |
| D0270 | <1% | 375 | $5K | |
| D2954 | <1% | 19 | $4K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 38 | $3K |
| D1354 | <1% | 100 | $1K | |
| D1999 | 0% | 386 | $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 officialKHALIFE-YAZBECK, VIVIANNE (PRESIDENT)