Clinic
Family Dental Group of Northborough
Family Dental Group of Northborough was paid $54K by Medicaid between Mar 2021 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.
33Billing provider infoFAMILY DENTAL GROUP OF NORTHBOROUGH
NORTHBOROUGH, MA 01532
NORTHBOROUGH, MA 01532
33aNPI1205475415assigned 01/06/2020
33bProvider typeDental Clinic/Center
28Total paid$54K
24GClaims1,161
24DCodes billed11
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#212 of 307
Median peer was paid$245K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 84 | $4K | |
| 2022 | 333 | $19K | |
| 2023 | 385 | $17K | |
| 2024incomplete | 359 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 60% | 641 | 603 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 247 | 236 | $6K |
| D2950 | 7.3% | 24 | 13 | $4K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 85 | 79 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 36 | 28 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 24 | 12 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 20 | 14 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 25 | 25 | $1K |
| D0274 | Bitewings - four radiographic images | 1.9% | 29 | 28 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 13 | 13 | $565.00 |
| D1206 | Topical application of fluoride varnish | <1% | 17 | 17 | $476.00 |
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 officialLAVANA, ARCHANA (OWNER)