Dental
Vernon Hill Pediatric Dentistry
Vernon Hill Pediatric Dentistry was paid $6.27M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoVERNON HILL PEDIATRIC DENTISTRY
WORCESTER, MA 01604
WORCESTER, MA 01604
33aNPI1326315862assigned 11/29/2011
33bProvider typePediatric Dentist
28Total paid$6.27M
24GClaims169,125
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#8 of 144
Median peer was paid$511K
This provider vs. median12×
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 | 15,268 | $551K | |
| 2019 | 18,380 | $663K | |
| 2020 | 16,306 | $542K | |
| 2021 | 24,215 | $877K | |
| 2022 | 29,933 | $1.16M | |
| 2023 | 33,268 | $1.28M | |
| 2024incomplete | 31,755 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 19,470 | 19,339 | $1.02M |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 22,987 | 22,824 | $685K |
| D0274 | Bitewings - four radiographic images | 10.0% | 14,182 | 14,072 | $625K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 20,173 | 20,049 | $603K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 4,018 | 2,553 | $468K |
| D1351 | Sealant - per tooth | 7.4% | 11,213 | 3,288 | $467K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.7% | 1,823 | 874 | $356K |
| D1110 | Prophylaxis - adult | 3.9% | 3,532 | 3,506 | $246K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 2,174 | 1,153 | $219K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 10,286 | 10,109 | $208K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 2,270 | 1,247 | $207K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 3,356 | 3,316 | $196K |
18 more codes
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.5% | 1,643 | $159K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 9,499 | $149K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 1,591 | $146K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 6,031 | $124K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,733 | $82K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 504 | $63K |
| D0330 | Panoramic radiographic image | 1.0% | 684 | $63K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 593 | $61K |
| D0272 | Bitewings - two radiographic images | <1% | 1,461 | $45K |
| D3120 | <1% | 953 | $37K | |
| D2160 | <1% | 165 | $18K | |
| D9222 | <1% | 172 | $17K | |
| D1354 | <1% | 418 | $6K | |
| D2330 | <1% | 36 | $3K | |
| D2332 | <1% | 16 | $2K | |
| D0240 | <1% | 24 | $270.00 | |
| D9215 | 0% | 5,153 | $0.00 | |
| D1330 | 0% | 22,965 | $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 officialKAPADIA, KANCHI (PRESIDENT)