Dental
Koko Dental Care PLLC
Koko Dental Care PLLC was paid $14K by Medicaid between Sep 2024 and Dec 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoKOKO DENTAL CARE PLLC
WALTHAM, MA 02453
WALTHAM, MA 02453
33aNPI1366152191assigned 12/02/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims254
24DCodes billed4
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#505 of 693
Median peer was paid$87K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 254 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 85 | 85 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 32% | 59 | 59 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 97 | 96 | $4K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 13 | 13 | $571.00 |
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 officialKOTCHINIAN, HAROUTIOUN (OWNER)