Dental
Evergrin Dental
Evergrin Dental was paid $143K by Medicaid between Jan 2018 and Aug 2020, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoEVERGRIN DENTAL
HINGHAM, MA 02043
HINGHAM, MA 02043
33aNPI1467999037assigned 01/20/2017
33bProvider typeDentist
28Total paid$143K
24GClaims3,554
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#176 of 413
Median peer was paid$93K
This provider vs. median1.5×
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 | 1,756 | $73K | |
| 2019 | 1,339 | $53K | |
| 2020 | 459 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 961 | 951 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 293 | 149 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 969 | 961 | $23K |
| D0274 | Bitewings - four radiographic images | 10% | 408 | 408 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 363 | 362 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 160 | 95 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 92 | 92 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 220 | 215 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 35 | 35 | $2K |
| D9110 | <1% | 39 | 38 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | 14 | $966.00 |
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 officialDO, HOANG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Hoang K. DO, DDS, LLC | Alexandria, VA | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.