Clinic
Wellesley Family Dental
Wellesley Family Dental was paid $16K by Medicaid between Jan 2018 and Aug 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.
33Billing provider infoWELLESLEY FAMILY DENTAL
WELLESLEY, MA 02481
WELLESLEY, MA 02481
33aNPI1245665892assigned 09/13/2013
33bProvider typeDental Clinic/Center
28Total paid$16K
24GClaims460
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#245 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 | |
|---|---|---|---|
| 2018 | 246 | $9K | |
| 2019 | 161 | $6K | |
| 2020 | 53 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 60% | 183 | 181 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 265 | 263 | $6K |
| D1206 | Topical application of fluoride varnish | 1.8% | 12 | 12 | $286.00 |
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 officialMOSKOWITZ-PORATH, EMREY (DENTIST)