Dental
Randolph Family Dentistry PC
Randolph Family Dentistry PC was paid $6K by Medicaid between Mar 2022 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoRANDOLPH FAMILY DENTISTRY PC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1184155590assigned 03/27/2017
33bProvider typeDentist
28Total paid$6K
24GClaims180
24DCodes billed4
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#312 of 413
Median peer was paid$93K
This provider vs. median0.1×
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 | 109 | $4K | |
| 2023 | 15 | $404.00 | |
| 2024incomplete | 56 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 101 | 101 | $3K |
| D1110 | Prophylaxis - adult | 26% | 25 | 25 | $2K |
| D1206 | Topical application of fluoride varnish | 18% | 42 | 42 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 12 | 12 | $660.00 |
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 officialSALLOUM, EYAD (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Ultimate Dental Care of Randolph , PC | Randolph, MA | $23K |
| Norton Family Dental Group | Norton, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.