Clinic
Franciscan Hospital for Children, INC.
Franciscan Hospital for Children, INC. was paid $62.31M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 87% of everything it billed.
33Billing provider infoFRANCISCAN HOSPITAL FOR CHILDREN, INC.
BOSTON, MA 02135
BOSTON, MA 02135
33aNPI1174542013assigned 07/19/2006
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$62.31M
24GClaims156,864
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
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 | 27,789 | $8.12M | |
| 2019 | 26,825 | $8.33M | |
| 2020 | 23,828 | $6.45M | |
| 2021 | 21,030 | $8.88M | |
| 2022 | 21,977 | $9.53M | |
| 2023 | 21,317 | $10.46M | |
| 2024incomplete | 14,098 | $10.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 87% | 17,267 | 15,549 | $54.24M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 2.5% | 8,697 | 2,963 | $1.57M |
| H0046 | Mental health services, not otherwise specified | 1.6% | 14,331 | 5,746 | $972K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 9,203 | 4,091 | $776K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 10,806 | 10,528 | $499K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 13,387 | 13,084 | $373K |
| D1110 | Prophylaxis - adult | <1% | 4,804 | 4,669 | $292K |
| D1206 | Topical application of fluoride varnish | <1% | 10,228 | 9,928 | $263K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,690 | 1,326 | $249K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 3,051 | 2,524 | $235K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,682 | 1,902 | $223K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,028 | 1,582 | $208K |
63 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,702 | $207K |
| D1351 | Sealant - per tooth | <1% | 5,439 | $197K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,069 | $183K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,055 | $171K |
| 90887 | <1% | 5,833 | $162K | |
| D9920 | <1% | 2,018 | $134K | |
| D0272 | Bitewings - two radiographic images | <1% | 4,713 | $127K |
| D0330 | Panoramic radiographic image | <1% | 1,637 | $106K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 4,130 | $93K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,894 | $81K |
| D0274 | Bitewings - four radiographic images | <1% | 2,000 | $81K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 951 | $80K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,142 | $65K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 678 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 852 | $59K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,545 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 621 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 580 | $45K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 530 | $44K |
| D9248 | <1% | 927 | $40K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 507 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,677 | $29K |
| D2330 | <1% | 183 | $29K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 393 | $27K |
| D9110 | <1% | 378 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 739 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 316 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,153 | $21K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 244 | $19K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 139 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 275 | $18K |
| 90461 | <1% | 871 | $17K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 788 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 93 | $13K |
| D2140 | <1% | 123 | $9K | |
| D7280 | <1% | 13 | $6K | |
| 87430 | <1% | 408 | $5K | |
| 83655 | <1% | 358 | $5K | |
| D1354 | <1% | 271 | $4K | |
| D2332 | <1% | 135 | $4K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 87 | $3K |
| 97802 | <1% | 14 | $2K | |
| 90691 | <1% | 15 | $2K | |
| 87081 | <1% | 213 | $2K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 31 | $2K |
| 87070 | <1% | 121 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $756.00 |
| D2335 | <1% | 75 | $70.00 | |
| 90688 | <1% | 39 | $2.56 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 89 | $0.00 |
| D2331 | 0% | 77 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 20 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 138 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 20 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 13 | $0.00 |
| D9995 | 0% | 45 | $0.00 | |
| D1510 | 0% | 69 | $0.00 | |
| D0191 | 0% | 42 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 21 | $0.00 |
| 80061 | Lipid panel | 0% | 71 | $0.00 |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 0% | 47 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 15 | $0.00 |
| J0136 | Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg | 0% | 20 | $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 officialLEFAIVRE, DANIEL (VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Franciscan Hospital for Children, INC. | Boston, MA | $3.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.