Coppe Pediatric Dental LLC

Coppe Pediatric Dental LLC was paid $98K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoCOPPE PEDIATRIC DENTAL LLC
LEXINGTON, MA 02421

33aNPI1558782409assigned 12/19/2013

33bProvider typePediatric Dentist

28Total paid$98K

24GClaims4,100

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatric Dentist providers in Massachusetts

Rank by total paid#109 of 144

Median peer was paid$511K

This provider vs. median0.2×

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
2018	531	$14K
2019	302	$6K
2020	413	$9K
2021	608	$12K
2022	704	$18K
2023	772	$18K
2024incomplete	770	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	1,691	1,640	$37K
D1206	Topical application of fluoride varnish	36%	1,843	1,785	$35K
D1120	Dental cleaning, childProphylaxis - child	15%	317	313	$15K
D1110	Prophylaxis - adult	10%	237	225	$10K
D0272	Bitewings - two radiographic images	<1%	12	12	$352.00

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 officialCOPPE, CAROLYN (DENTIST/OWNER)