Dental
Centerville Family Dental Care L.L.C
Centerville Family Dental Care L.L.C was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoCENTERVILLE FAMILY DENTAL CARE L.L.C
CENTERVILLE, MA 02632
CENTERVILLE, MA 02632
33aNPI1396081618assigned 12/13/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$2.59M
24GClaims59,237
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#42 of 693
Median peer was paid$87K
This provider vs. median30×
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 | 8,981 | $391K | |
| 2019 | 8,645 | $326K | |
| 2020 | 5,243 | $211K | |
| 2021 | 7,446 | $306K | |
| 2022 | 9,703 | $410K | |
| 2023 | 10,487 | $532K | |
| 2024incomplete | 8,732 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 8,437 | 8,106 | $490K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 6,997 | 6,783 | $345K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12,925 | 12,485 | $338K |
| D2740 | Crown - porcelain/ceramic | 10% | 396 | 202 | $271K |
| D1206 | Topical application of fluoride varnish | 9.4% | 9,597 | 9,277 | $244K |
| D0274 | Bitewings - four radiographic images | 6.7% | 4,529 | 4,353 | $172K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 1,775 | 1,066 | $169K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 1,386 | 803 | $109K |
| D9450 | 4.2% | 5,954 | 5,660 | $108K | |
| D0330 | Panoramic radiographic image | 3.9% | 1,377 | 1,352 | $101K |
| D1351 | Sealant - per tooth | 2.4% | 1,665 | 392 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 788 | 745 | $35K |
11 more codes
| D0140 | Limited oral evaluation - problem focused | 1.2% | 781 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 832 | $23K |
| D0272 | Bitewings - two radiographic images | <1% | 718 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 188 | $19K |
| D2950 | <1% | 106 | $17K | |
| D9945 | <1% | 42 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 565 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 116 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 26 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $231.00 |
| D0240 | 0% | 25 | $0.00 |
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 officialSHAIKH, SURAIYA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bourne Dental Associates, LLC | Bourne, MA | $898K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.