Dental
Medford TLC Dental Group, LLC
Medford TLC Dental Group, LLC was paid $3K by Medicaid between Mar 2022 and Jun 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 89% of everything it billed.
33Billing provider infoMEDFORD TLC DENTAL GROUP, LLC
MEDFORD, MA 02155
MEDFORD, MA 02155
33aNPI1457863953assigned 10/25/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims66
24DCodes billed2
24AFirst – last monthMar 2022 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#584 of 693
Median peer was paid$87K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 37 | $2K | |
| 2023 | 29 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 89% | 51 | 51 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 15 | 15 | $365.00 |
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 officialGANOPOLSKY, ANNA (OWNER)