Clinic
Pine Dental PC
Pine Dental PC was paid $16K by Medicaid between Aug 2024 and Nov 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoPINE DENTAL PC
FITCHBURG, MA 01420
FITCHBURG, MA 01420
33aNPI1245081736assigned 04/01/2024
33bProvider typeDental Clinic/Center
28Total paid$16K
24GClaims444
24DCodes billed8
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#247 of 307
Median peer was paid$245K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 444 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 99 | 93 | $4K |
| D1110 | Prophylaxis - adult | 25% | 72 | 67 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 30 | 30 | $2K |
| D0274 | Bitewings - four radiographic images | 9.3% | 42 | 38 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 87 | 72 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 71 | 53 | $908.00 |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 31 | 29 | $899.00 |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 12 | 12 | $528.00 |
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 officialKIM, DONG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Dongwon Kim PC | Taunton, MA | $1.53M |
| DR. Dongwon Kim PC | Mattapan, MA | $1.22M |
| Quabbin Valley Dental PC | Athol, MA | $1.01M |
| Shoe City Family Dental PC | Haverhill, MA | $138K |
| Rockport Family Dental PC | Rockport, MA | $92K |
| Salem Family Dental Care, P.C. | Salem, MA | $83K |
| Dong S Kim DMD, PC | Lutherville, MD | $67K |
| Lee and Kim Dental Corporation | Artesia, CA | $10K |
| Dong S. Kim, M.D., INC | Moreno Valley, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.