Dental
Baystate Family Dental
Baystate Family Dental was paid $587K by Medicaid between Mar 2024 and Dec 2024, across 18 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 49% of everything it billed.
33Billing provider infoBAYSTATE FAMILY DENTAL
WORCESTER, MA 01607
WORCESTER, MA 01607
33aNPI1184849986assigned 04/16/2007
33bProvider typeDentist
28Total paid$587K
24GClaims5,376
24DCodes billed18
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#97 of 413
Median peer was paid$93K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2024incomplete | 5,376 | $587K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 49% | 396 | 227 | $286K |
| D1110 | Prophylaxis - adult | 6.9% | 676 | 673 | $40K |
| D2954 | 6.8% | 208 | 139 | $40K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.6% | 375 | 267 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 284 | 207 | $26K |
| D2394 | 4.2% | 187 | 140 | $25K | |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 609 | 565 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 278 | 167 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 702 | 700 | $18K |
| D0330 | Panoramic radiographic image | 3.0% | 247 | 246 | $18K |
| D2332 | 2.3% | 112 | 64 | $14K | |
| D0274 | Bitewings - four radiographic images | 1.8% | 279 | 277 | $11K |
6 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 258 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 486 | $7K |
| D1120 | Dental cleaning, child | 1.1% | 124 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 92 | $4K |
| D9110 | <1% | 49 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $175.00 |
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 officialNASSAR, SAMI (PRESIDENT)