Dental
Forsyth Dental Infirmary for Children
Forsyth Dental Infirmary for Children was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoFORSYTH DENTAL INFIRMARY FOR CHILDREN
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1497977177assigned 05/03/2007
33bProvider typeDentist
28Total paid$1.10M
24GClaims40,943
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#66 of 413
Median peer was paid$93K
This provider vs. median12×
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 | 7,663 | $225K | |
| 2019 | 14,439 | $269K | |
| 2020 | 2,623 | $43K | |
| 2021 | 2,340 | $64K | |
| 2022 | 5,240 | $192K | |
| 2023 | 5,118 | $180K | |
| 2024incomplete | 3,520 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 13,120 | 13,079 | $336K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 3,854 | 3,842 | $193K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 6,059 | 6,034 | $174K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 2,721 | 2,708 | $156K |
| D1351 | Sealant - per tooth | 13% | 3,863 | 1,208 | $149K |
| D1110 | Prophylaxis - adult | 7.1% | 1,526 | 1,471 | $79K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 347 | 321 | $12K |
| D1354 | <1% | 182 | 57 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 42 | 42 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 18 | 13 | $908.00 |
| D0190 | 0% | 1,398 | 1,395 | $0.00 | |
| D1330 | 0% | 6,106 | 6,093 | $0.00 |
1 more codes
| D1310 | 0% | 1,707 | $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 officialNIEDERMAN, RICHARD (DIRECTOR CENTER FOR EVIDENCE BASED)
| Provider | Location | Paid |
|---|---|---|
| Cariedaway LLC | Concord, NH | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.