Dental
Mansfield Family Dental, LLC
Mansfield Family Dental, LLC was paid $101K by Medicaid between Mar 2023 and Dec 2024, across 9 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 40% of everything it billed.
33Billing provider infoMANSFIELD FAMILY DENTAL, LLC
MANSFIELD, MA 02048
MANSFIELD, MA 02048
33aNPI1538623913assigned 01/30/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$101K
24GClaims1,278
24DCodes billed9
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#330 of 693
Median peer was paid$87K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2023 | 390 | $17K | |
| 2024incomplete | 888 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 40% | 58 | 43 | $41K |
| D1110 | Prophylaxis - adult | 32% | 566 | 565 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 351 | 350 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 95 | 65 | $8K |
| D2950 | 4.8% | 30 | 25 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 56 | 56 | $2K |
| D0274 | Bitewings - four radiographic images | 2.4% | 67 | 67 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 25 | 25 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 30 | 28 | $432.00 |
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 officialCOSTA, MARDY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Alpha Dental Center of Taunton, LLC | Taunton, MA | $1.43M |
| Alpha Dental Center of Taunton, LLC | Taunton, MA | $165K |
| Alpha Dental Center of Dartmouth, LLC | N Dartmouth, MA | $40K |
| Pocasset Family Dental, LLC | Pocasset, MA | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.