Physician
42 North Dental Care, LLC
42 North Dental Care, LLC was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider info42 NORTH DENTAL CARE, LLC
WALTHAM, MA 02451
WALTHAM, MA 02451
33aNPI1205868098assigned 07/06/2006
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$2.23M
24GClaims62,686
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Massachusetts
Rank by total paid#2 of 9
Median peer was paid$562K
This provider vs. median4.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
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 | 1,729 | $54K | |
| 2019 | 4,201 | $135K | |
| 2020 | 6,787 | $246K | |
| 2021 | 10,881 | $417K | |
| 2022 | 13,434 | $494K | |
| 2023 | 15,975 | $521K | |
| 2024incomplete | 9,679 | $363K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 17,566 | 15,754 | $672K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 12,372 | 11,109 | $359K |
| D1206 | Topical application of fluoride varnish | 16% | 14,478 | 13,078 | $351K |
| D8670 | Periodic orthodontic treatment visit | 11% | 3,388 | 3,282 | $237K |
| D0274 | Bitewings - four radiographic images | 5.0% | 2,736 | 2,542 | $113K |
| D1351 | Sealant - per tooth | 4.9% | 3,040 | 800 | $110K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,532 | 1,376 | $84K |
| D0330 | Panoramic radiographic image | 3.0% | 1,007 | 938 | $66K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 556 | 324 | $55K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,262 | 1,208 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 414 | 270 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,500 | 1,430 | $26K |
11 more codes
| D9310 | <1% | 697 | $19K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 180 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,021 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 523 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 140 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 36 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 21 | $4K |
| D0470 | <1% | 25 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 78 | $2K |
| D1110 | Prophylaxis - adult | <1% | 26 | $2K |
| D8660 | <1% | 88 | $931.56 |
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 officialSCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 42 North Dental Care, LLC | Mansfield, MA | $1.17M |
| 42 North Dental Care, LLC | Watertown, MA | $339K |
| 42 North Dental Care, LLC | Cambridge, MA | $138K |
| 42 North Dental Care of Michigan, PLLC | Blissfield, MI | $70K |
| 42 North Dental Care, LLC | Brookline, MA | $40K |
| 42 North Dental Care of Indiana, LLC | Muncie, IN | $36K |
| 42 North Dental Care of Michigan, PLLC | Almont, MI | $27K |
| 42 North Dental Care of Michigan, PLLC | Charlotte, MI | $16K |
| 42 North Dental Oral Surgery of Ma, PLLC | Quincy, MA | $15K |
| 42 North Dental Care of Michigan, PLLC | Howell, MI | $3K |
| 42 North Dental Care PLLC | Waterbury, CT | $0.00 |
| 42 North Dental Care PLLC | Southbury, CT | $0.00 |
| 42 North Dental Care PLLC | Manchester, CT | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.