Dental
Mi Dental, LLC
Mi Dental, LLC was paid $587K by Medicaid between Nov 2021 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoMI DENTAL, LLC
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1346820479assigned 04/12/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$587K
24GClaims10,844
24DCodes billed22
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#159 of 693
Median peer was paid$87K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2021 | 85 | $4K | |
| 2022 | 3,549 | $200K | |
| 2023 | 4,405 | $240K | |
| 2024incomplete | 2,805 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 996 | 328 | $181K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,271 | 1,154 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 506 | 254 | $58K |
| D1206 | Topical application of fluoride varnish | 9.4% | 2,111 | 1,992 | $55K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 498 | 220 | $46K |
| D0140 | Limited oral evaluation - problem focused | 5.9% | 735 | 729 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 1,152 | 1,055 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 504 | 480 | $28K |
| D0272 | Bitewings - two radiographic images | 3.5% | 822 | 742 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 671 | 481 | $13K |
| D0330 | Panoramic radiographic image | 2.2% | 168 | 168 | $13K |
| D1110 | Prophylaxis - adult | 1.3% | 132 | 130 | $8K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 370 | $7K |
| D1351 | Sealant - per tooth | <1% | 125 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 448 | $5K |
| D1510 | <1% | 23 | $5K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 44 | $5K |
| D2330 | <1% | 43 | $4K | |
| D1354 | <1% | 135 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 48 | $1K |
| D0603 | 0% | 25 | $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 officialVO, MICHELLE (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Duck Duck Tooth Pediatric Dentistry LLC | Lexington, MA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.