Dental
Lowell Family Dental Practice PC
Lowell Family Dental Practice PC was paid $85K by Medicaid between Jan 2018 and Dec 2018, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoLOWELL FAMILY DENTAL PRACTICE PC
LOWELL, MA 01852
LOWELL, MA 01852
33aNPI1588790067assigned 02/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$85K
24GClaims2,344
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#349 of 693
Median peer was paid$87K
This provider vs. median1.0×
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 | 2,344 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 674 | 668 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 738 | 732 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 233 | 231 | $7K |
| D0274 | Bitewings - four radiographic images | 7.5% | 180 | 178 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 5.2% | 64 | 64 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 83 | 83 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 205 | 197 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 35 | 28 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 30 | 18 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 23 | 19 | $2K |
| D1351 | Sealant - per tooth | 1.3% | 29 | 12 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 25 | 25 | $624.00 |
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 officialAMIRZADOV, KONSTANTIN (PRESIDENT)