Clinic
Pediatric Dental Specialist of Needham
Pediatric Dental Specialist of Needham was paid $1K by Medicaid between Jun 2020 and Jun 2020, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALIST OF NEEDHAM
NEEDHAM, MA 02494
NEEDHAM, MA 02494
33aNPI1356998116assigned 08/26/2019
33bProvider typeDental Clinic/Center
28Total paid$1K
24GClaims36
24DCodes billed3
24AFirst – last monthJun 2020 – Jun 2020
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#291 of 307
Median peer was paid$245K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 36 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 48% | 12 | 12 | $612.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 12 | 12 | $348.00 |
| D1206 | Topical application of fluoride varnish | 25% | 12 | 12 | $312.00 |
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 officialDEFEO, ANNAMARIE (DENTIST)