Clinic
My Dental LLC
My Dental LLC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoMY DENTAL LLC
WALTHAM, MA 02453
WALTHAM, MA 02453
33aNPI1366722100assigned 08/24/2011
33bProvider typeDental Clinic/Center
28Total paid$1.22M
24GClaims31,495
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#60 of 307
Median peer was paid$245K
This provider vs. median5.0×
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 | 4,371 | $73K | |
| 2019 | 3,218 | $63K | |
| 2020 | 2,159 | $84K | |
| 2021 | 4,663 | $182K | |
| 2022 | 5,927 | $295K | |
| 2023 | 6,073 | $343K | |
| 2024incomplete | 5,084 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 4,347 | 3,661 | $196K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 2,597 | 1,043 | $143K |
| D2740 | Crown - porcelain/ceramic | 11% | 198 | 149 | $139K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 1,233 | 767 | $93K |
| D0274 | Bitewings - four radiographic images | 7.0% | 2,679 | 2,316 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 3,991 | 3,391 | $81K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 4,704 | 3,971 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 1,632 | 1,368 | $57K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 1,517 | 1,352 | $56K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.5% | 436 | 213 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 4.1% | 798 | 691 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 1,737 | 1,563 | $46K |
8 more codes
| D1120 | Dental cleaning, child | 3.6% | 1,062 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 3,573 | $42K |
| D2950 | 2.3% | 176 | $28K | |
| D2330 | 1.6% | 450 | $20K | |
| D1351 | Sealant - per tooth | <1% | 262 | $10K |
| D4342 | <1% | 50 | $4K | |
| D2954 | <1% | 21 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 32 | $3K |
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 officialDESANEEDI, SRINIVAS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| My Dental New Bedford | New Bedford, MA | $2.74M |
| My Dental Danvers PC | Danvers, MA | $1.65M |
| Norton Dental PC | Norton, MA | $1.40M |
| SVK Dental PC | Springfield, MA | $1.18M |
| My Dental Lawrence PLLC | Lawrence, MA | $1.07M |
| My Dental Revere PC | Saugus, MA | $990K |
| My Dental Southbridge PLLC | Southbridge, MA | $769K |
| My Dental Watertown | Watertown, MA | $220K |
| My Dental Somerville | Somerville, MA | $215K |
| My Dental East Boston | East Boston, MA | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.