Dental
Worcester Pediatric Dental Group LLC
Worcester Pediatric Dental Group LLC was paid $5.89M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoWORCESTER PEDIATRIC DENTAL GROUP LLC
WORCESTER, MA 01609
WORCESTER, MA 01609
33aNPI1245402577assigned 03/27/2008
33bProvider typePediatric Dentist
28Total paid$5.89M
24GClaims141,456
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#9 of 144
Median peer was paid$511K
This provider vs. median12×
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 | 21,601 | $831K | |
| 2019 | 20,639 | $825K | |
| 2020 | 13,476 | $526K | |
| 2021 | 21,208 | $845K | |
| 2022 | 23,615 | $1.03M | |
| 2023 | 20,648 | $899K | |
| 2024incomplete | 20,269 | $930K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 20,541 | 20,215 | $1.03M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 22,226 | 21,880 | $637K |
| D1206 | Topical application of fluoride varnish | 10% | 23,814 | 23,446 | $616K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 5,524 | 3,337 | $589K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 4,279 | 3,069 | $361K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.1% | 3,626 | 1,905 | $303K |
| D0272 | Bitewings - two radiographic images | 4.9% | 9,737 | 9,558 | $286K |
| D1351 | Sealant - per tooth | 4.7% | 7,114 | 2,683 | $277K |
| D1110 | Prophylaxis - adult | 4.4% | 3,865 | 3,812 | $260K |
| D0274 | Bitewings - four radiographic images | 4.0% | 5,729 | 5,629 | $236K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.0% | 1,292 | 691 | $235K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 2,524 | 1,443 | $232K |
11 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 9,418 | $185K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 2,988 | $169K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 7,126 | $137K |
| D0330 | Panoramic radiographic image | 2.3% | 2,700 | $136K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 7,233 | $102K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 366 | $43K |
| D0140 | Limited oral evaluation - problem focused | <1% | 814 | $35K |
| D2140 | <1% | 110 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 226 | $6K |
| D1354 | <1% | 172 | $3K | |
| D0270 | <1% | 32 | $340.00 |
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 officialVERA, CHENGETO (MEMBER)