Dental
Southbridge Dental LLC
Southbridge Dental LLC was paid $835K by Medicaid between Jul 2019 and Nov 2023, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoSOUTHBRIDGE DENTAL LLC
SOUTHBRIDGE, MA 01550
SOUTHBRIDGE, MA 01550
33aNPI1184284549assigned 06/18/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$835K
24GClaims14,922
24DCodes billed21
24AFirst – last monthJul 2019 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#123 of 693
Median peer was paid$87K
This provider vs. median9.6×
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 | |
|---|---|---|---|
| 2019 | 1,904 | $76K | |
| 2020 | 3,418 | $154K | |
| 2021 | 4,070 | $304K | |
| 2022 | 3,002 | $194K | |
| 2023 | 2,528 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 2,914 | 2,766 | $150K |
| D2751 | Crown - porcelain fused to predominantly base metal | 14% | 209 | 138 | $113K |
| D2740 | Crown - porcelain/ceramic | 9.9% | 117 | 91 | $83K |
| D0274 | Bitewings - four radiographic images | 9.3% | 2,142 | 2,062 | $78K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 865 | 819 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 1,078 | 1,027 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 2,122 | 2,027 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 490 | 291 | $43K |
| D2950 | 4.3% | 242 | 191 | $36K | |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 823 | 800 | $32K |
| D1206 | Topical application of fluoride varnish | 3.5% | 1,194 | 1,126 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 711 | 627 | $27K |
9 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 197 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 330 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 834 | $12K |
| D0330 | Panoramic radiographic image | 1.3% | 176 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 71 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 243 | $3K |
| D1351 | Sealant - per tooth | <1% | 71 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 29 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 64 | $740.00 |
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 officialREDDIVARI, SUMAN (MEMBER)