Dental
Children's Dental of Waltham, P.C.
Children's Dental of Waltham, P.C. was paid $7.21M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL OF WALTHAM, P.C.
WALTHAM, MA 02451
WALTHAM, MA 02451
33aNPI1184768426assigned 02/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$7.21M
24GClaims165,533
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#12 of 693
Median peer was paid$87K
This provider vs. median83×
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 | 21,868 | $894K | |
| 2019 | 21,734 | $867K | |
| 2020 | 20,675 | $832K | |
| 2021 | 23,853 | $981K | |
| 2022 | 25,472 | $1.17M | |
| 2023 | 27,156 | $1.28M | |
| 2024incomplete | 24,775 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 27,970 | 27,874 | $1.42M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 33,816 | 33,729 | $985K |
| D1206 | Topical application of fluoride varnish | 13% | 36,508 | 36,402 | $965K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 7,121 | 4,795 | $841K |
| D1110 | Prophylaxis - adult | 8.5% | 8,983 | 8,950 | $613K |
| D1351 | Sealant - per tooth | 8.3% | 14,449 | 5,457 | $599K |
| D0272 | Bitewings - two radiographic images | 4.3% | 10,232 | 10,196 | $312K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 3,030 | 2,264 | $280K |
| D0330 | Panoramic radiographic image | 3.5% | 3,969 | 3,953 | $252K |
| D0274 | Bitewings - four radiographic images | 3.5% | 5,713 | 5,703 | $251K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.5% | 1,984 | 1,284 | $183K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 2,038 | 2,019 | $120K |
9 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 5,373 | $113K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 731 | $95K |
| D7111 | 1.3% | 1,211 | $94K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,407 | $29K |
| D0140 | Limited oral evaluation - problem focused | <1% | 375 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 168 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 74 | $11K |
| D0270 | <1% | 367 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $406.00 |
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 officialGUTNICHENKO, YELENA (PRESIDENT)