Dental
Commonwealth Mobile Oral Health Services, LLC
Commonwealth Mobile Oral Health Services, LLC was paid $5.04M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoCOMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC
LAKEVILLE, MA 02347
LAKEVILLE, MA 02347
33aNPI1215081625assigned 01/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5.04M
24GClaims149,838
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#23 of 693
Median peer was paid$87K
This provider vs. median58×
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 | 36,652 | $1.18M | |
| 2019 | 35,140 | $1.12M | |
| 2020 | 11,563 | $381K | |
| 2021 | 7,741 | $279K | |
| 2022 | 17,748 | $608K | |
| 2023 | 22,349 | $807K | |
| 2024incomplete | 18,645 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 21,015 | 20,246 | $1.03M |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 26,597 | 25,718 | $748K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 13,544 | 13,143 | $724K |
| D1351 | Sealant - per tooth | 13% | 16,837 | 4,211 | $667K |
| D0274 | Bitewings - four radiographic images | 9.4% | 11,512 | 11,312 | $472K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 13,337 | 12,892 | $381K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 22,815 | 11,207 | $345K |
| D1110 | Prophylaxis - adult | 5.4% | 4,141 | 4,073 | $273K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 11,476 | 11,242 | $190K |
| D1206 | Topical application of fluoride varnish | 2.8% | 5,285 | 5,237 | $140K |
| D0272 | Bitewings - two radiographic images | <1% | 1,569 | 1,497 | $46K |
| D0140 | Limited oral evaluation - problem focused | <1% | 379 | 374 | $18K |
5 more codes
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 officialDOHERTY, MARK (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mark R Doherty DDS PC | Pryor, OK | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.