Dental
Tremont Road Dental Super, P.C.
Tremont Road Dental Super, P.C. was paid $63.58M by Medicaid between Jan 2018 and Mar 2020, across 47 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 10% of everything it billed.
33Billing provider infoTREMONT ROAD DENTAL SUPER, P.C.
NORFOLK, VA 23502
NORFOLK, VA 23502
33aNPI1386982288assigned 01/28/2013
33bProvider typeEndodontist
28Total paid$63.58M
24GClaims1,449,506
24DCodes billed47
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Endodontist providers in Virginia
Rank by total paid#2 of 38
Median peer was paid$69K
This provider vs. median921×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACOMINO, MICHELLE controls 20+ related entities in our dataset. Read more
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 | 692,719 | $30.35M | |
| 2019 | 632,449 | $27.48M | |
| 2020 | 124,338 | $5.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 10% | 14,893 | 14,361 | $6.42M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 175,933 | 175,531 | $5.81M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 69,106 | 43,137 | $5.05M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 55,256 | 36,487 | $4.84M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 5.8% | 3,536 | 3,536 | $3.67M |
| D1206 | Topical application of fluoride varnish | 5.4% | 168,341 | 167,981 | $3.45M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 163,409 | 163,077 | $3.25M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.9% | 23,181 | 10,540 | $3.14M |
| D1110 | Prophylaxis - adult | 4.4% | 60,269 | 60,122 | $2.79M |
| D1351 | Sealant - per tooth | 3.8% | 75,236 | 26,458 | $2.40M |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 79,836 | 79,560 | $2.33M |
| D7240 | Removal of impacted tooth - completely bony | 3.6% | 9,500 | 3,304 | $2.26M |
35 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 60,317 | $2.00M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.6% | 14,651 | $1.64M |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 25,113 | $1.62M |
| D0272 | Bitewings - two radiographic images | 2.2% | 71,721 | $1.42M |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 64,875 | $1.33M |
| D8660 | 2.0% | 6,630 | $1.27M | |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 29,034 | $1.11M |
| D0274 | Bitewings - four radiographic images | 1.7% | 40,053 | $1.09M |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.6% | 1,541 | $1.02M |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 93,161 | $1.01M |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 68,465 | $752K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 33,984 | $680K |
| D0330 | Panoramic radiographic image | 1.0% | 15,338 | $653K |
| D2934 | <1% | 3,097 | $550K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 6,635 | $548K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 3,034 | $343K |
| D7230 | <1% | 1,528 | $302K | |
| D2950 | <1% | 2,091 | $225K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 2,162 | $134K |
| D7250 | <1% | 985 | $123K | |
| D2330 | <1% | 1,081 | $79K | |
| D3320 | <1% | 142 | $58K | |
| D7111 | <1% | 1,999 | $37K | |
| D2140 | <1% | 547 | $32K | |
| D9222 | <1% | 406 | $25K | |
| D2332 | <1% | 198 | $23K | |
| D7220 | <1% | 140 | $20K | |
| D3120 | <1% | 899 | $17K | |
| D9920 | <1% | 204 | $14K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 166 | $12K |
| D0270 | <1% | 707 | $8K | |
| D8680 | <1% | 12 | $5K | |
| D2331 | <1% | 42 | $4K | |
| D0340 | <1% | 38 | $3K | |
| D1510 | <1% | 14 | $2K |
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 officialJACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Tremont Road Dental, PC | Newport News, VA | $85.04M |
| Wolcott Street Dental-2, PC | Waterbury, CT | $21.04M |
| Hathaway Road Dental, PC | Springfield, MA | $18.79M |
| Wolcott Street Dental-1, PC | New Britain, CT | $15.20M |
| Hathaway Road Dental, PC | Chelsea, MA | $10.26M |
| Hathaway Road Dental, PC | Roxbury, MA | $9.05M |
| Hathaway Road Dental, PC | New Bedford, MA | $8.69M |
| Hathaway Road Dental, PC | Fall River, MA | $7.72M |
| Hathaway Road Dental, PC | Holyoke, MA | $7.18M |
| Hathaway Road Dental, PC | Brockton, MA | $6.08M |
| Tremont Road Dental, PC | Danville, VA | $113K |
| Tremont Road Dental, PC | Hampton, VA | $76K |
| Tremont Road Dental, PC | Norfolk, VA | $69K |
| Tremont Road Dental, PC | Richmond, VA | $66K |
| Tremont Road Dental, PC | Virginia Beach, VA | $66K |
| Tremont Road Dental Super, P.C. | Richmond, VA | $62K |
| Tremont Road Dental, PC | Norfolk, VA | $61K |
| Tremont Road Dental Super, P.C. | Portsmouth, VA | $56K |
| Tremont Road Dental Super, P.C. | Christiansburg, VA | $55K |
| Tremont Road Dental, PC | Roanoke, VA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.