Dental
South Shore Pediatric Dentistry
South Shore Pediatric Dentistry was paid $6.52M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoSOUTH SHORE PEDIATRIC DENTISTRY
WEYMOUTH, MA 02188
WEYMOUTH, MA 02188
33aNPI1427484062assigned 09/15/2013
33bProvider typePediatric Dentist
28Total paid$6.52M
24GClaims157,378
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#7 of 144
Median peer was paid$511K
This provider vs. median13×
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 | 13,369 | $526K | |
| 2019 | 18,292 | $735K | |
| 2020 | 16,712 | $690K | |
| 2021 | 23,692 | $996K | |
| 2022 | 31,578 | $1.22M | |
| 2023 | 28,389 | $1.25M | |
| 2024incomplete | 25,346 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 25,779 | 24,788 | $1.25M |
| D8670 | Periodic orthodontic treatment visit | 13% | 3,688 | 3,120 | $816K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 29,275 | 28,084 | $793K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 25,626 | 24,645 | $698K |
| D1351 | Sealant - per tooth | 4.6% | 7,865 | 2,475 | $301K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 2,701 | 1,674 | $299K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 1,360 | 410 | $266K |
| D0272 | Bitewings - two radiographic images | 3.8% | 8,817 | 8,476 | $250K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 12,694 | 11,992 | $231K |
| D0330 | Panoramic radiographic image | 3.1% | 2,474 | 2,414 | $202K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 13,810 | 11,138 | $198K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 3,492 | 3,330 | $193K |
16 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 2,217 | $186K |
| D1110 | Prophylaxis - adult | 2.6% | 2,851 | $171K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 1,802 | $159K |
| D0274 | Bitewings - four radiographic images | 2.4% | 4,059 | $154K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 5,275 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 1,089 | $105K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,166 | $51K |
| D9110 | <1% | 589 | $41K | |
| D8680 | <1% | 370 | $34K | |
| D9310 | <1% | 227 | $11K | |
| D2332 | <1% | 42 | $6K | |
| D8660 | <1% | 18 | $2K | |
| D2330 | <1% | 18 | $2K | |
| D2140 | <1% | 17 | $1K | |
| D1999 | 0% | 16 | $0.00 | |
| D9420 | 0% | 41 | $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 officialHUA, SALLY (OWNER)