Dental
Baystate Dental Practice, LLC
Baystate Dental Practice, LLC was paid $22.47M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 28% of everything it billed.
33Billing provider infoBAYSTATE DENTAL PRACTICE, LLC
SPRINGFIELD, MA 01103
SPRINGFIELD, MA 01103
33aNPI1295156636assigned 01/03/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$22.47M
24GClaims375,324
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#3 of 693
Median peer was paid$87K
This provider vs. median258×
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 | 46,060 | $1.90M | |
| 2019 | 49,785 | $2.06M | |
| 2020 | 41,605 | $1.73M | |
| 2021 | 55,282 | $2.43M | |
| 2022 | 57,906 | $3.86M | |
| 2023 | 65,138 | $5.65M | |
| 2024incomplete | 59,548 | $4.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 28% | 10,121 | 6,211 | $6.32M |
| D1110 | Prophylaxis - adult | 14% | 64,461 | 63,453 | $3.20M |
| D0274 | Bitewings - four radiographic images | 6.7% | 51,464 | 50,517 | $1.50M |
| D0330 | Panoramic radiographic image | 6.1% | 30,350 | 29,558 | $1.37M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.6% | 9,801 | 4,219 | $1.26M |
| D2950 | 5.6% | 8,495 | 5,766 | $1.25M | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 56,150 | 55,290 | $1.19M |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.6% | 1,162 | 1,010 | $811K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 18,691 | 18,328 | $710K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 6,495 | 4,209 | $481K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 13,017 | 12,562 | $452K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 16,762 | 16,590 | $430K |
43 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 34,390 | $373K |
| D3320 | 1.3% | 534 | $281K | |
| D1120 | Dental cleaning, child | 1.2% | 5,914 | $275K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.1% | 469 | $249K |
| D8670 | Periodic orthodontic treatment visit | 1.0% | 1,153 | $226K |
| D9450 | <1% | 10,565 | $213K | |
| D4341 | <1% | 1,699 | $178K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,693 | $165K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,796 | $164K |
| D5110 | <1% | 285 | $146K | |
| D4910 | <1% | 2,433 | $144K | |
| D3310 | <1% | 315 | $142K | |
| D5212 | <1% | 249 | $131K | |
| D6740 | <1% | 302 | $91K | |
| D5211 | <1% | 178 | $90K | |
| D1206 | Topical application of fluoride varnish | <1% | 4,105 | $85K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 846 | $72K |
| D1351 | Sealant - per tooth | <1% | 1,808 | $69K |
| D6245 | <1% | 206 | $63K | |
| D1330 | <1% | 5,271 | $62K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 9,885 | $56K |
| D5214 | <1% | 54 | $47K | |
| D5120 | <1% | 81 | $36K | |
| D2954 | <1% | 186 | $30K | |
| D4342 | <1% | 362 | $27K | |
| D5213 | <1% | 17 | $13K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 13 | $13K |
| D4381 | <1% | 356 | $7K | |
| D2331 | <1% | 69 | $6K | |
| D2335 | <1% | 46 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 261 | $6K |
| D2332 | <1% | 49 | $5K | |
| D8660 | <1% | 181 | $5K | |
| D9243 | <1% | 43 | $3K | |
| D2330 | <1% | 58 | $3K | |
| D9110 | <1% | 78 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 26 | $1K |
| D3120 | <1% | 38 | $1K | |
| D4346 | <1% | 16 | $728.00 | |
| D0180 | <1% | 12 | $391.00 | |
| D9995 | 0% | 123 | $0.00 | |
| D1999 | 0% | 178 | $0.00 | |
| D0431 | 0% | 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 officialSANTOS, ANN MARIE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ascent Dental Care LLC | East Longmeadow, MA | $1.83M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.