Clinic
Broadway Dentist LLC
Broadway Dentist LLC was paid $1.63M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoBROADWAY DENTIST LLC
EVERETT, MA 02149
EVERETT, MA 02149
33aNPI1235381302assigned 10/21/2008
33bProvider typeDental Clinic/Center
28Total paid$1.63M
24GClaims40,724
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#41 of 307
Median peer was paid$245K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2018 | 3,830 | $154K | |
| 2019 | 7,486 | $308K | |
| 2020 | 5,886 | $226K | |
| 2021 | 5,936 | $222K | |
| 2022 | 5,708 | $198K | |
| 2023 | 6,320 | $294K | |
| 2024incomplete | 5,558 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,522 | 1,241 | $231K |
| D1110 | Prophylaxis - adult | 13% | 3,994 | 3,916 | $217K |
| D0274 | Bitewings - four radiographic images | 11% | 4,748 | 4,625 | $173K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.1% | 1,972 | 735 | $148K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 4,524 | 4,404 | $112K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 6,649 | 6,348 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 7,005 | 5,240 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 1,826 | 1,769 | $91K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.5% | 643 | 401 | $90K |
| D2740 | Crown - porcelain/ceramic | 5.5% | 142 | 106 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 2,842 | 2,763 | $82K |
| D9110 | 3.9% | 1,483 | 1,419 | $63K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 2.6% | 1,061 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 868 | $38K |
| D2950 | 1.7% | 184 | $28K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 222 | $21K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 12 | $6K |
| D0330 | Panoramic radiographic image | <1% | 15 | $962.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $360.00 |
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 officialITKES, PETER (MANAGER)