SUPER DENTAL OF FITCHBURG PLLC

NPI: 1386242758 · FITCHBURG, MA 01420 · Dental Clinic/Center · NPI assigned 10/16/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ALKHOURY, HOUSSAM controls 20+ related entities in our dataset. Read more

$295K

Total Medicaid Paid

7,999

Total Claims

7,314

Beneficiaries

Codes Billed

2021-01

First Month

2024-09

Last Month

Provider Details

Authorized Official	ALKHOURY, HOUSSAM (OWNER)
NPI Enumeration Date	10/16/2020

Other providers sharing the same authorized official: ALKHOURY, HOUSSAM

Provider	City	State	Total Paid
WORCESTER ORTHODONTICS, PC	WORCESTER	MA	$8.86M
LAWRENCE BRACES, P.C.	LAWRENCE	MA	$7.77M
METROPOLITAN ORTHODONTICS, PC	NATICK	MA	$5.42M
SIMPLY PEDIATRICS AND ORTHODONTICS OF PELHAM PLLC	PELHAM	NH	$2.50M
SIMPLY ORTHODONTICS AND PEDIATRICS FITCHBURG PLLC	FITCHBURG	MA	$1.46M
SIMPLY DENTAL OF WORCESTER SOUTH PLLC	WORCESTER	MA	$1.29M
MILFORD BRACES PC	MILFORD	MA	$898K
SIMPLY ORTHODONTICS FRAMINGHAM PLLC	FRAMINGHAM	MA	$809K
ORTHODONTIC ASSOCIATES OF NORTON, LLC	NORTON	MA	$767K
SIMPLY PEDIATRIC DENTISTRY AND ORTHODONTICS NASHUA PLLC	NASHUA	NH	$570K
SIMPLY ORTHODONTICS, NH, PC	DERRY	NH	$400K
SIMPLY ORTHODONTICS PC	DAYVILLE	CT	$391K
MILFORD BRACES PC	HOLLISTON	MA	$318K
SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC	RANDOLPH	MA	$116K
SOUTHBRIDGE BRACES PC	SOUTHBRIDGE	MA	$104K
SIMPLY ORTHODONTICS GRAFTON PLLC	NORTH GRAFTON	MA	$91K
SIMPLY ORTHODONTICS OF LUDLOW PLLC	LUDLOW	MA	$84K
SIMPLY ORTHODONTICS AND PEDIATRICS WORCESTER, PLLC	WORCESTER	MA	$68K
SIMPLY ORTHODONTICS, NH, PC	HUDSON	NH	$48K
SIMPLY DENTAL OF LOWELL PLLC	LOWELL	MA	$47K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	1,067	1,003	$54K
D0274	Bitewings - four radiographic images	835	773	$28K
D0210	Intraoral - complete series of radiographic images	393	387	$27K
D0150	Comprehensive oral evaluation - new or established patient	665	642	$26K
D0140	Limited oral evaluation - problem focused	692	660	$26K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	294	183	$24K
D0220	Intraoral - periapical first radiographic image	1,588	1,460	$23K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	143	92	$20K
D0120	Periodic oral evaluation - established patient	715	665	$16K
D0230	Intraoral - periapical each additional radiographic image	909	783	$11K
D1120	Prophylaxis - child	211	206	$10K
D2740	Crown - porcelain/ceramic	16	12	$10K
D1208	Topical application of fluoride, excluding varnish	324	317	$9K
D7140	Extraction, erupted tooth or exposed root	32	28	$3K
D0330	Panoramic radiographic image	41	41	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	18	14	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	22	15	$2K
D0270		34	33	$401.00