Dental
Pure Dental PC
Pure Dental PC was paid $96K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoPURE DENTAL PC
JAMAICA PLAIN, MA 02130
JAMAICA PLAIN, MA 02130
33aNPI1225326416assigned 07/21/2011
33bProvider typeDentist
28Total paid$96K
24GClaims2,664
24DCodes billed10
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#203 of 413
Median peer was paid$93K
This provider vs. median1.0×
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.
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 | 943 | $38K | |
| 2019 | 696 | $24K | |
| 2020 | 620 | $17K | |
| 2021 | 405 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 1,103 | 1,059 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,056 | 1,007 | $22K |
| D0274 | Bitewings - four radiographic images | 7.4% | 225 | 214 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 60 | 37 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 60 | 58 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.8% | 43 | 25 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | 29 | $688.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | 14 | $581.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 49 | 42 | $562.00 |
| D1206 | Topical application of fluoride varnish | <1% | 13 | 13 | $403.00 |
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 officialNELSON, JOSEPH (OWNER)