Dental
Greater Boston Smiles Pediatric Dentistry PLLC
Greater Boston Smiles Pediatric Dentistry PLLC was paid $340K by Medicaid between Dec 2023 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoGREATER BOSTON SMILES PEDIATRIC DENTISTRY PLLC
QUINCY, MA 02169
QUINCY, MA 02169
33aNPI1225725286assigned 04/20/2023
33bProvider typePediatric Dentist
28Total paid$340K
24GClaims9,640
24DCodes billed16
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#85 of 144
Median peer was paid$511K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 116 | $3K | |
| 2024incomplete | 9,524 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 2,191 | 2,044 | $105K |
| D1206 | Topical application of fluoride varnish | 18% | 2,399 | 2,238 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,171 | 2,022 | $60K |
| D0272 | Bitewings - two radiographic images | 6.5% | 767 | 717 | $22K |
| D1351 | Sealant - per tooth | 5.0% | 416 | 110 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 171 | 87 | $16K |
| D1110 | Prophylaxis - adult | 4.6% | 229 | 217 | $15K |
| D0274 | Bitewings - four radiographic images | 2.8% | 219 | 213 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 68 | 30 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 121 | 110 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 324 | 301 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 132 | 127 | $6K |
4 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 officialKOFOS, ZACHARY (OWNER)