Dental
City Dental LLC
City Dental LLC was paid $79K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoCITY DENTAL LLC
EVERETT, MA 02149
EVERETT, MA 02149
33aNPI1467721969assigned 12/29/2011
33bProvider typeDentist
28Total paid$79K
24GClaims2,160
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#222 of 413
Median peer was paid$93K
This provider vs. median0.8×
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 | 2,160 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 384 | 381 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 425 | 420 | $10K |
| D0274 | Bitewings - four radiographic images | 12% | 272 | 271 | $10K |
| D0140 | Limited oral evaluation - problem focused | 10% | 187 | 181 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 150 | 150 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 152 | 150 | $7K |
| D1351 | Sealant - per tooth | 6.0% | 118 | 29 | $5K |
| D1206 | Topical application of fluoride varnish | 5.3% | 160 | 159 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 240 | 230 | $4K |
| D0330 | Panoramic radiographic image | 3.7% | 50 | 49 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 22 | 17 | $293.00 |
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 officialAYALA, CIELITO (OFFICE MANAGER)
Parent organizationCITY DENTAL LLC