DR Dental

DR Dental was paid $415.20 by Medicaid between Jan 2019 and Apr 2021, across 3 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 41% of everything it billed.

33Billing provider infoDR DENTAL
HAVERHILL, MA 01830

33aNPI1275904682assigned 10/12/2015

33bProvider typeDentist

28Total paid$415.20

24GClaims43

24DCodes billed3

24AFirst – last monthJan 2019 – Apr 2021

Compared with peers

Next to other Dentist providers in Massachusetts

Rank by total paid#392 of 413

Median peer was paid$93K

This provider vs. median0.0×

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
2019	27	$243.60
2021	16	$171.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	41%	16	14	$171.60
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	13	13	$128.80
D0220	Intraoral - periapical first radiographic image	28%	14	13	$114.80

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 officialLOPEZ- CASADO, ALICIA (REGIONAL MANAGER)