Dental
Celestial Smile Dental Associates - Ma PC
Celestial Smile Dental Associates - Ma PC was paid $22K by Medicaid between Sep 2019 and Jul 2022, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoCELESTIAL SMILE DENTAL ASSOCIATES - MA PC
ROXBURY, MA 02119
ROXBURY, MA 02119
33aNPI1316590839assigned 07/23/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$22K
24GClaims621
24DCodes billed9
24AFirst – last monthSep 2019 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#470 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 | |
|---|---|---|---|
| 2019 | 335 | $10K | |
| 2020 | 124 | $5K | |
| 2022 | 162 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 145 | 143 | $6K |
| D1351 | Sealant - per tooth | 25% | 137 | 31 | $5K |
| D1110 | Prophylaxis - adult | 13% | 59 | 58 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 53 | 53 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 60 | 60 | $2K |
| D0274 | Bitewings - four radiographic images | 4.6% | 32 | 32 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 59 | 58 | $892.00 |
| D0330 | Panoramic radiographic image | 3.8% | 27 | 27 | $847.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 49 | 46 | $584.00 |
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 officialOLATUNJI, ANTHONY (DENTIST-PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| El Shaddai Dental Associates Mattapan PC | Mattapan, MA | $296K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.