Dental
Hathaway Road Dental, PC
Hathaway Road Dental, PC was paid $9.05M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 13% of everything it billed.
33Billing provider infoHATHAWAY ROAD DENTAL, PC
ROXBURY, MA 02119
ROXBURY, MA 02119
33aNPI1598852048assigned 10/06/2006
33bProvider typeEndodontist
28Total paid$9.05M
24GClaims170,331
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in Massachusetts
Rank by total paid#3 of 24
Median peer was paid$87K
This provider vs. median104×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACOMINO, MICHELLE controls 20+ related entities in our dataset. Read more
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 | 32,700 | $1.72M | |
| 2019 | 32,395 | $1.83M | |
| 2020 | 21,988 | $940K | |
| 2021 | 20,837 | $1.07M | |
| 2022 | 20,906 | $1.20M | |
| 2023 | 20,768 | $1.18M | |
| 2024incomplete | 20,737 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 13% | 4,670 | 4,616 | $1.19M |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 15,653 | 15,427 | $796K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 7,138 | 4,623 | $726K |
| D1351 | Sealant - per tooth | 7.9% | 17,520 | 6,043 | $714K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 21,818 | 21,468 | $617K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 7,089 | 4,764 | $580K |
| D1110 | Prophylaxis - adult | 6.4% | 9,062 | 8,907 | $575K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 2,868 | 1,447 | $567K |
| D1206 | Topical application of fluoride varnish | 6.2% | 21,636 | 21,272 | $557K |
| D0274 | Bitewings - four radiographic images | 4.8% | 10,791 | 10,605 | $437K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 3.9% | 308 | 305 | $356K |
| D0272 | Bitewings - two radiographic images | 2.9% | 8,993 | 8,869 | $266K |
23 more codes
| D0330 | Panoramic radiographic image | 2.2% | 5,228 | $198K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 1,815 | $193K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 3,740 | $179K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 1,710 | $166K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 8,481 | $154K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 3,140 | $132K |
| D7111 | 1.1% | 1,289 | $98K | |
| D8690 | 1.1% | 763 | $97K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 547 | $81K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,429 | $77K |
| D8660 | <1% | 531 | $70K | |
| D8680 | <1% | 586 | $52K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,556 | $52K |
| D3120 | <1% | 906 | $33K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 520 | $31K |
| D0270 | <1% | 1,460 | $20K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 131 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 89 | $8K |
| D2140 | <1% | 65 | $5K | |
| D2335 | <1% | 15 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 82 | $2K |
| D2332 | <1% | 14 | $1K | |
| D1999 | 0% | 3,688 | $0.00 |
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 officialJACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Tremont Road Dental, PC | Newport News, VA | $85.04M |
| Tremont Road Dental Super, P.C. | Norfolk, VA | $63.58M |
| Wolcott Street Dental-2, PC | Waterbury, CT | $21.04M |
| Hathaway Road Dental, PC | Springfield, MA | $18.79M |
| Wolcott Street Dental-1, PC | New Britain, CT | $15.20M |
| Hathaway Road Dental, PC | Chelsea, MA | $10.26M |
| Hathaway Road Dental, PC | New Bedford, MA | $8.69M |
| Hathaway Road Dental, PC | Fall River, MA | $7.72M |
| Hathaway Road Dental, PC | Holyoke, MA | $7.18M |
| Hathaway Road Dental, PC | Brockton, MA | $6.08M |
| Tremont Road Dental, PC | Danville, VA | $113K |
| Tremont Road Dental, PC | Hampton, VA | $76K |
| Tremont Road Dental, PC | Norfolk, VA | $69K |
| Tremont Road Dental, PC | Richmond, VA | $66K |
| Tremont Road Dental, PC | Virginia Beach, VA | $66K |
| Tremont Road Dental Super, P.C. | Richmond, VA | $62K |
| Tremont Road Dental, PC | Norfolk, VA | $61K |
| Tremont Road Dental Super, P.C. | Portsmouth, VA | $56K |
| Tremont Road Dental Super, P.C. | Christiansburg, VA | $55K |
| Tremont Road Dental, PC | Roanoke, VA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.