Dental
Randolph Dental Group LLC
Randolph Dental Group LLC was paid $246K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 40% of everything it billed.
33Billing provider infoRANDOLPH DENTAL GROUP LLC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1356698443assigned 08/08/2012
33bProvider typeDentist
28Total paid$246K
24GClaims4,896
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#141 of 413
Median peer was paid$93K
This provider vs. median2.6×
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 | 2,553 | $134K | |
| 2019 | 2,343 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 40% | 516 | 440 | $97K |
| D1110 | Prophylaxis - adult | 27% | 1,413 | 1,237 | $67K |
| D0274 | Bitewings - four radiographic images | 10% | 757 | 688 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 970 | 862 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 428 | 391 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 132 | 124 | $6K |
| D1206 | Topical application of fluoride varnish | 1.6% | 200 | 165 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 98 | 89 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 57 | 51 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 151 | 144 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 21 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 116 | 99 | $2K |
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 officialCHANEY, JANE (SENIOR ACCOUNTANT)