Clinic
Quabbin Valley Dental PC
Quabbin Valley Dental PC was paid $1.01M by Medicaid between Apr 2023 and Dec 2024, across 19 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 66% of everything it billed.
33Billing provider infoQUABBIN VALLEY DENTAL PC
ATHOL, MA 01331
ATHOL, MA 01331
33aNPI1437865896assigned 01/27/2023
33bProvider typeDental Clinic/Center
28Total paid$1.01M
24GClaims8,453
24DCodes billed19
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#69 of 307
Median peer was paid$245K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2023 | 3,899 | $550K | |
| 2024incomplete | 4,554 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 66% | 960 | 449 | $672K |
| D1110 | Prophylaxis - adult | 5.9% | 1,095 | 1,060 | $60K |
| D2950 | 5.9% | 371 | 196 | $59K | |
| D2954 | 5.3% | 302 | 168 | $54K | |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,172 | 1,133 | $41K |
| D0330 | Panoramic radiographic image | 3.1% | 885 | 845 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 511 | 490 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 1,371 | 1,118 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 695 | 677 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 241 | 225 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 120 | 115 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 190 | 186 | $6K |
7 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 51 | $4K |
| D7311 | <1% | 26 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 351 | $3K |
| D1351 | Sealant - per tooth | <1% | 64 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $384.00 |
| D1204 | 0% | 12 | $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 officialKIM, DONG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Dongwon Kim PC | Taunton, MA | $1.53M |
| DR. Dongwon Kim PC | Mattapan, MA | $1.22M |
| Shoe City Family Dental PC | Haverhill, MA | $138K |
| Rockport Family Dental PC | Rockport, MA | $92K |
| Salem Family Dental Care, P.C. | Salem, MA | $83K |
| Dong S Kim DMD, PC | Lutherville, MD | $67K |
| Pine Dental PC | Fitchburg, MA | $16K |
| Lee and Kim Dental Corporation | Artesia, CA | $10K |
| Dong S. Kim, M.D., INC | Moreno Valley, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.