Prime Smile Dental Group PC

Prime Smile Dental Group PC was paid $28K by Medicaid between Apr 2018 and Feb 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 77% of everything it billed.

33Billing provider infoPRIME SMILE DENTAL GROUP PC
MARLBOROUGH, MA 01752

33aNPI1275974354assigned 07/17/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$28K

24GClaims731

24DCodes billed5

24AFirst – last monthApr 2018 – Feb 2024

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#455 of 693

Median peer was paid$87K

This provider vs. median0.3×

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	73	$3K
2019	85	$4K
2020	61	$2K
2021	107	$5K
2022	230	$8K
2023	144	$5K
2024incomplete	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	77%	434	421	$22K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	215	211	$5K
D0220	Intraoral - periapical first radiographic image	2.5%	44	44	$708.00
D0150	Comprehensive oral evaluation - new or established patient	1.8%	12	12	$507.00
D0230	Intraoral - periapical each additional radiographic image	1.3%	26	25	$362.00

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 officialRAHIMI, MOJGAN (OWNER)