Clinic
Ethio Dental Care
Ethio Dental Care was paid $472K by Medicaid between Feb 2018 and Nov 2024, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 71% of everything it billed.
33Billing provider infoETHIO DENTAL CARE
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
33aNPI1386997989assigned 10/19/2012
33bProvider typeDental Clinic/Center
28Total paid$472K
24GClaims3,282
24DCodes billed15
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#105 of 307
Median peer was paid$245K
This provider vs. median1.9×
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 | 142 | $5K | |
| 2019 | 164 | $6K | |
| 2020 | 353 | $16K | |
| 2021 | 333 | $12K | |
| 2022 | 801 | $168K | |
| 2023 | 890 | $182K | |
| 2024incomplete | 599 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 71% | 491 | 155 | $338K |
| D1110 | Prophylaxis - adult | 9.7% | 868 | 861 | $46K |
| D2950 | 3.6% | 103 | 37 | $17K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.4% | 22 | 15 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 687 | 683 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 232 | 229 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 462 | 407 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 68 | 34 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 43 | 13 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 42 | 17 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 119 | 118 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 52 | 52 | $3K |
3 more codes
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 officialHILEYESUES, SAMSON (OWNER)