Clinic
Haverhill Prime Dental PLLC
Haverhill Prime Dental PLLC was paid $1.36M by Medicaid between Dec 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoHAVERHILL PRIME DENTAL PLLC
HAVERHILL, MA 01830
HAVERHILL, MA 01830
33aNPI1427538230assigned 08/21/2018
33bProvider typeDental Clinic/Center
28Total paid$1.36M
24GClaims29,304
24DCodes billed21
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#54 of 307
Median peer was paid$245K
This provider vs. median5.5×
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 | 18 | $876.00 | |
| 2019 | 3,163 | $118K | |
| 2020 | 3,820 | $131K | |
| 2021 | 4,063 | $181K | |
| 2022 | 4,007 | $146K | |
| 2023 | 7,042 | $384K | |
| 2024incomplete | 7,191 | $397K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 4,501 | 4,327 | $229K |
| D2740 | Crown - porcelain/ceramic | 16% | 316 | 210 | $215K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 1,457 | 803 | $116K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 2,617 | 2,476 | $111K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 1,789 | 909 | $107K |
| D0274 | Bitewings - four radiographic images | 6.8% | 2,635 | 2,532 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 3,553 | 3,464 | $86K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 1,705 | 1,622 | $79K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 2,471 | 2,406 | $72K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 3,690 | 3,434 | $56K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 1,182 | 1,130 | $45K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.6% | 259 | 160 | $35K |
9 more codes
| D2751 | Crown - porcelain fused to predominantly base metal | 2.3% | 62 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 2,269 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 374 | $25K |
| D2950 | 1.3% | 121 | $18K | |
| D1351 | Sealant - per tooth | <1% | 199 | $7K |
| D2332 | <1% | 21 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 44 | $1K |
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 officialBANSAL, ATUL (MANAGER)