Dental
El Shaddai Dental Associates Mattapan PC
El Shaddai Dental Associates Mattapan PC was paid $296K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 41% of everything it billed.
33Billing provider infoEL SHADDAI DENTAL ASSOCIATES MATTAPAN PC
MATTAPAN, MA 02126
MATTAPAN, MA 02126
33aNPI1376919696assigned 08/20/2015
33bProvider typeDentist
28Total paid$296K
24GClaims7,884
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#132 of 413
Median peer was paid$93K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2018 | 3,816 | $153K | |
| 2019 | 4,068 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 41% | 3,421 | 791 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 1,419 | 1,400 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 1,243 | 1,223 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 1,506 | 1,487 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 267 | 267 | $8K |
| D1110 | Prophylaxis - adult | <1% | 28 | 28 | $1K |
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 officialOLATUNJI, ANTHONY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Celestial Smile Dental Associates - Ma PC | Roxbury, MA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.