Dental
Salem Family Dental and Orthodontics PC
Salem Family Dental and Orthodontics PC was paid $583K by Medicaid between Aug 2019 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoSALEM FAMILY DENTAL AND ORTHODONTICS PC
SALEM, MA 01970
SALEM, MA 01970
33aNPI1598320111assigned 05/08/2019
33bProvider typePediatric Dentist
28Total paid$583K
24GClaims13,180
24DCodes billed18
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#69 of 144
Median peer was paid$511K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 911 | $32K | |
| 2020 | 2,423 | $88K | |
| 2021 | 2,600 | $102K | |
| 2022 | 3,189 | $161K | |
| 2023 | 1,880 | $90K | |
| 2024incomplete | 2,177 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 3,125 | 3,057 | $166K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,010 | 611 | $77K |
| D0274 | Bitewings - four radiographic images | 13% | 2,096 | 2,055 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,006 | 2,957 | $70K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 392 | 385 | $28K |
| D8670 | Periodic orthodontic treatment visit | 4.7% | 101 | 98 | $28K |
| D2740 | Crown - porcelain/ceramic | 4.6% | 39 | 28 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 446 | 281 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 791 | 780 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 459 | 441 | $19K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 390 | 369 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 275 | 270 | $14K |
6 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 officialBANSAL, NEETU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Brockton Dental and Orthodontics PC | Brockton, MA | $569K |
| East Boston Dental and Orthodontics PC | East Boston, MA | $120K |
| Revere Dental and Orthodontics PC | Revere, MA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.