Managed care
The Pediatric Dental Group
The Pediatric Dental Group was paid $2.57M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoTHE PEDIATRIC DENTAL GROUP
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1225441843assigned 06/11/2014
33bProvider typePoint of Service
28Total paid$2.57M
24GClaims68,896
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in Massachusetts
Rank by total paid#8 of 19
Median peer was paid$1.04M
This provider vs. median2.5×
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 PACHELLO, TODD controls 15+ 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 | 7,262 | $226K | |
| 2019 | 7,816 | $303K | |
| 2020 | 8,787 | $268K | |
| 2021 | 10,792 | $389K | |
| 2022 | 10,209 | $439K | |
| 2023 | 13,115 | $501K | |
| 2024incomplete | 10,915 | $446K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 13,320 | 12,780 | $665K |
| D1206 | Topical application of fluoride varnish | 15% | 15,278 | 14,563 | $389K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 12,869 | 12,220 | $363K |
| D1351 | Sealant - per tooth | 6.9% | 4,385 | 1,278 | $177K |
| D0272 | Bitewings - two radiographic images | 5.8% | 5,054 | 4,873 | $149K |
| D8670 | Periodic orthodontic treatment visit | 4.5% | 522 | 467 | $116K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 2,099 | 2,023 | $112K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 889 | 548 | $102K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.7% | 1,063 | 591 | $96K |
| D1110 | Prophylaxis - adult | 3.3% | 1,479 | 1,340 | $86K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 1,398 | 1,306 | $58K |
| D0274 | Bitewings - four radiographic images | 2.1% | 1,383 | 1,270 | $55K |
16 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 2,439 | $48K |
| D0330 | Panoramic radiographic image | 1.7% | 761 | $43K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 219 | $42K |
| D9310 | <1% | 371 | $19K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 893 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 138 | $12K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 134 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 75 | $8K |
| D8660 | <1% | 159 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $1K |
| D1354 | <1% | 44 | $615.00 | |
| D1999 | 0% | 2,345 | $0.00 | |
| D0603 | 0% | 1,256 | $0.00 | |
| D0602 | 0% | 140 | $0.00 | |
| D0601 | 0% | 120 | $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 officialPACHELLO, TODD (PRESIDENT CHIEF REVENUE OFFICER)
Parent organizationTHE PEDIATRIC DENTAL GROUP
| Provider | Location | Paid |
|---|---|---|
| New England Family Dental PC | Framingham, MA | $14.64M |
| New England Family Dentistry ,PC | Lynn, MA | $14.07M |
| New England Family Dentistry, PC | Holyoke, MA | $12.70M |
| New England Family Dentistry, PC | Lawrence, MA | $12.46M |
| New England Family Dentistry | Brockton, MA | $10.41M |
| Pediatric Dental Group, INC | Milford, MA | $7.08M |
| New England Family Dentistry, PC | Mattapan, MA | $6.82M |
| New England Family Dentistry | Worcester, MA | $3.25M |
| New England Family Dentistry ,PC | Springfield, MA | $1.84M |
| Peabody Dental Specialties PLLC | Peabody, MA | $1.72M |
| New England Family Dentistry, PC | South Attleboro, MA | $1.69M |
| Worcester Oral Surgery and Implant Centers PLLC | Worcester, MA | $1.54M |
| Pediatric Dental Group INC | Franklin, MA | $1.45M |
| Pediatric Dental Group INC | Marlborough, MA | $79K |
| Pediatric Dental Group | Northborough, MA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.