Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Tremont Road Dental Super, P.C.

Tremont Road Dental Super, P.C. was paid $6K by Medicaid between Jan 2019 and Jun 2021, across 7 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 49% of everything it billed.

33Billing provider infoTREMONT ROAD DENTAL SUPER, P.C.
WINCHESTER, VA 22601
33aNPI1609162460assigned 06/21/2011
33bProvider typeEndodontist
28Total paid$6K
24GClaims1,238
24DCodes billed7
24AFirst – last monthJan 2019 – Jun 2021
Compared with peers

Next to other Endodontist providers in Virginia

Rank by total paid#33 of 38
Median peer was paid$69K
This provider vs. median0.1×

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.

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2019386$3K
2020703$3K
2021149$458.54
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 49% 286 271 $3K
D0330 Panoramic radiographic image 27% 61 57 $2K
D0220 Intraoral - periapical first radiographic image 11% 390 361 $736.56
D0150 Comprehensive oral evaluation - new or established patient 11% 28 26 $692.51
D0274 Bitewings - four radiographic images <1% 14 12 $55.20
D0230 Intraoral - periapical each additional radiographic image <1% 106 77 $43.83
D1999 0% 353 288 $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)
Same official

Other billing entities under JACOMINO, MICHELLE

Full network →
ProviderLocationPaid
Tremont Road Dental, PCNewport News, VA$85.04M
Tremont Road Dental Super, P.C.Norfolk, VA$63.58M
Wolcott Street Dental-2, PCWaterbury, CT$21.04M
Hathaway Road Dental, PCSpringfield, MA$18.79M
Wolcott Street Dental-1, PCNew Britain, CT$15.20M
Hathaway Road Dental, PCChelsea, MA$10.26M
Hathaway Road Dental, PCRoxbury, MA$9.05M
Hathaway Road Dental, PCNew Bedford, MA$8.69M
Hathaway Road Dental, PCFall River, MA$7.72M
Hathaway Road Dental, PCHolyoke, MA$7.18M
Hathaway Road Dental, PCBrockton, MA$6.08M
Tremont Road Dental, PCDanville, VA$113K
Tremont Road Dental, PCHampton, VA$76K
Tremont Road Dental, PCNorfolk, VA$69K
Tremont Road Dental, PCRichmond, VA$66K
Tremont Road Dental, PCVirginia Beach, VA$66K
Tremont Road Dental Super, P.C.Richmond, VA$62K
Tremont Road Dental, PCNorfolk, VA$61K
Tremont Road Dental Super, P.C.Portsmouth, VA$56K
Tremont Road Dental Super, P.C.Christiansburg, VA$55K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.