Clinic
Mattapan Dental, LLC
Mattapan Dental, LLC was paid $195K by Medicaid between Apr 2018 and Aug 2021, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoMATTAPAN DENTAL, LLC
MATTAPAN, MA 02126
MATTAPAN, MA 02126
33aNPI1528575628assigned 01/10/2018
33bProvider typeDental Clinic/Center
28Total paid$195K
24GClaims6,678
24DCodes billed15
24AFirst – last monthApr 2018 – Aug 2021
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#163 of 307
Median peer was paid$245K
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 | 764 | $24K | |
| 2019 | 2,194 | $63K | |
| 2020 | 2,332 | $66K | |
| 2021 | 1,388 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 1,138 | 1,075 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 883 | 840 | $34K |
| D0274 | Bitewings - four radiographic images | 11% | 691 | 657 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 1,280 | 1,192 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 8.2% | 247 | 237 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 946 | 832 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 520 | 493 | $11K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 244 | 224 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 158 | 149 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 85 | 38 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 178 | 169 | $5K |
| D0330 | Panoramic radiographic image | 1.2% | 38 | 37 | $2K |
3 more codes
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 officialKASHPER, ANNA (HR)