Dental
Everett Dental Management Co.
Everett Dental Management Co. was paid $84K by Medicaid between Jan 2018 and Sep 2018, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoEVERETT DENTAL MANAGEMENT CO.
EVERETT, MA 02149
EVERETT, MA 02149
33aNPI1255421699assigned 10/14/2006
33bProvider typeDentist
28Total paid$84K
24GClaims2,438
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#217 of 413
Median peer was paid$93K
This provider vs. median0.9×
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 | 2,438 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 343 | 333 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 287 | 274 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 447 | 438 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 334 | 324 | $9K |
| D0274 | Bitewings - four radiographic images | 9.7% | 231 | 224 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 69 | 31 | $5K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 115 | 113 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 265 | 254 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 70 | 70 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 28 | 15 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 194 | 148 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 31 | 31 | $2K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 24 | $720.00 |
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 officialMAMULASHILI, EKATERINA (OWNER)