Dental
Waverly Oaks Dental, INC.
Waverly Oaks Dental, INC. was paid $93K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 29% of everything it billed.
33Billing provider infoWAVERLY OAKS DENTAL, INC.
WALTHAM, MA 02452
WALTHAM, MA 02452
33aNPI1295135085assigned 08/28/2014
33bProvider typeDentist
28Total paid$93K
24GClaims2,980
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#208 of 413
Median peer was paid$93K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 430 | $13K | |
| 2019 | 741 | $23K | |
| 2020 | 537 | $17K | |
| 2021 | 448 | $15K | |
| 2022 | 424 | $12K | |
| 2023 | 232 | $7K | |
| 2024incomplete | 168 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 29% | 941 | 924 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 781 | 766 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 292 | 287 | $14K |
| D0274 | Bitewings - four radiographic images | 9.5% | 210 | 205 | $9K |
| D1110 | Prophylaxis - adult | 8.4% | 117 | 115 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 263 | 254 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 257 | 247 | $4K |
| D8670 | Periodic orthodontic treatment visit | 3.7% | 13 | 12 | $3K |
| D1330 | 0% | 94 | 92 | $0.00 | |
| D4999 | 0% | 12 | 12 | $0.00 |
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 officialZAMANI, LEILA (OWNER)