Dental
Chicopee Family Dental, LLC
Chicopee Family Dental, LLC was paid $30K by Medicaid between Jan 2018 and Sep 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 64% of everything it billed.
33Billing provider infoCHICOPEE FAMILY DENTAL, LLC
CHICOPEE, MA 01020
CHICOPEE, MA 01020
33aNPI1417350158assigned 10/08/2014
33bProvider typeDentist
28Total paid$30K
24GClaims830
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#268 of 413
Median peer was paid$93K
This provider vs. median0.3×
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 | 497 | $20K | |
| 2019 | 333 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 64% | 436 | 395 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 265 | 224 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 8.4% | 37 | 37 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 41 | 40 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 13 | 12 | $612.00 |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 14 | 13 | $546.00 |
| D1206 | Topical application of fluoride varnish | 1.0% | 12 | 12 | $312.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $160.00 |
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 officialCORMIER, MICHELLE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Wissam Khoory, MD,PC | Waltham, MA | $29.21 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.