Dental
Alpha Dental Center of Dartmouth, LLC
Alpha Dental Center of Dartmouth, LLC was paid $40K by Medicaid between Dec 2019 and Aug 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.
33Billing provider infoALPHA DENTAL CENTER OF DARTMOUTH, LLC
N DARTMOUTH, MA 02747
N DARTMOUTH, MA 02747
33aNPI1225502693assigned 01/18/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims1,114
24DCodes billed9
24AFirst – last monthDec 2019 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#415 of 693
Median peer was paid$87K
This provider vs. median0.5×
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.
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 | |
|---|---|---|---|
| 2019 | 71 | $2K | |
| 2020 | 473 | $16K | |
| 2021 | 390 | $14K | |
| 2022 | 27 | $1K | |
| 2023 | 128 | $6K | |
| 2024incomplete | 25 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 65% | 498 | 486 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 229 | 227 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 154 | 150 | $2K |
| D0274 | Bitewings - four radiographic images | 5.5% | 61 | 60 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 93 | 82 | $1K |
| D1206 | Topical application of fluoride varnish | 2.4% | 38 | 37 | $962.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 16 | 16 | $816.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 13 | 13 | $575.00 |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 12 | 12 | $439.00 |
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 officialCOSTA, MARDY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Alpha Dental Center of Taunton, LLC | Taunton, MA | $1.43M |
| Alpha Dental Center of Taunton, LLC | Taunton, MA | $165K |
| Mansfield Family Dental, LLC | Mansfield, MA | $101K |
| Pocasset Family Dental, LLC | Pocasset, MA | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.