Clinic
Aqua Dental LLC
Aqua Dental LLC was paid $245K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoAQUA DENTAL LLC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1336392505assigned 10/31/2008
33bProvider typeDental Clinic/Center
28Total paid$245K
24GClaims7,489
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#154 of 307
Median peer was paid$245K
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 | 3,310 | $117K | |
| 2019 | 2,386 | $78K | |
| 2020 | 1,793 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 1,550 | 1,524 | $76K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 769 | 761 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,479 | 1,454 | $34K |
| D0274 | Bitewings - four radiographic images | 14% | 973 | 960 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,141 | 1,129 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 129 | 80 | $10K |
| D1351 | Sealant - per tooth | 2.8% | 181 | 52 | $7K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 174 | 170 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 413 | 382 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 137 | 135 | $5K |
| D9110 | <1% | 36 | 30 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | 12 | $929.00 |
2 more codes
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 officialFAYERMAN, JEFFREY (OWNER)