Dental
West Broadway Family Dental, LLC
West Broadway Family Dental, LLC was paid $3.30M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoWEST BROADWAY FAMILY DENTAL, LLC
SOUTH BOSTON, MA 02127
SOUTH BOSTON, MA 02127
33aNPI1194017871assigned 05/12/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$3.30M
24GClaims73,569
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#32 of 693
Median peer was paid$87K
This provider vs. median38×
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 | 7,947 | $300K | |
| 2019 | 9,172 | $364K | |
| 2020 | 7,762 | $319K | |
| 2021 | 12,374 | $622K | |
| 2022 | 12,906 | $562K | |
| 2023 | 13,770 | $629K | |
| 2024incomplete | 9,638 | $507K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 9,334 | 9,209 | $506K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 3,762 | 2,280 | $322K |
| D0274 | Bitewings - four radiographic images | 9.2% | 8,113 | 8,037 | $305K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 10,254 | 10,147 | $253K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.8% | 1,610 | 642 | $224K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 3,254 | 1,760 | $206K |
| D2740 | Crown - porcelain/ceramic | 5.9% | 276 | 185 | $195K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 3,540 | 3,514 | $179K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 5,624 | 5,579 | $164K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 9,139 | 8,899 | $149K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 3,263 | 3,225 | $143K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 1,879 | 1,839 | $138K |
17 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 7,800 | $106K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.4% | 150 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 785 | $74K |
| D1351 | Sealant - per tooth | 2.2% | 1,827 | $72K |
| D0330 | Panoramic radiographic image | 1.7% | 816 | $56K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 872 | $35K |
| D9110 | <1% | 491 | $21K | |
| D2330 | <1% | 273 | $20K | |
| D2954 | <1% | 130 | $17K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 19 | $11K |
| D2335 | <1% | 71 | $10K | |
| D2332 | <1% | 66 | $8K | |
| D0180 | <1% | 120 | $5K | |
| D2950 | <1% | 30 | $4K | |
| D2394 | <1% | 22 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $2K |
| D1999 | 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 officialRANA, GARIMA (MEMBER)