Dental
Davis Square Dental Group
Davis Square Dental Group was paid $12.28M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoDAVIS SQUARE DENTAL GROUP
SOMERVILLE, MA 02144
SOMERVILLE, MA 02144
33aNPI1629341540assigned 02/23/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$12.28M
24GClaims225,584
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#5 of 693
Median peer was paid$87K
This provider vs. median141×
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 | 39,351 | $2.20M | |
| 2019 | 43,186 | $2.43M | |
| 2020 | 30,562 | $1.73M | |
| 2021 | 27,857 | $1.42M | |
| 2022 | 29,616 | $1.55M | |
| 2023 | 27,231 | $1.43M | |
| 2024incomplete | 27,781 | $1.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 19% | 27,214 | 7,661 | $2.30M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 18,433 | 7,493 | $1.93M |
| D4210 | 16% | 6,282 | 2,753 | $1.92M | |
| D1110 | Prophylaxis - adult | 11% | 22,075 | 21,505 | $1.33M |
| D0274 | Bitewings - four radiographic images | 8.3% | 25,598 | 25,058 | $1.03M |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 20,424 | 20,224 | $598K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 21,940 | 21,567 | $581K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 28,264 | 27,507 | $499K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 9,825 | 9,529 | $492K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 8,418 | 8,338 | $425K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 27,760 | 26,491 | $399K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 3,351 | 3,262 | $260K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 1.5% | 4,404 | $186K |
| D2740 | Crown - porcelain/ceramic | <1% | 150 | $110K |
| D7961 | <1% | 207 | $57K | |
| D7960 | <1% | 175 | $48K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 377 | $42K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 28 | $20K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 33 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 132 | $13K |
| D2330 | <1% | 151 | $13K | |
| D1351 | Sealant - per tooth | <1% | 283 | $12K |
| D2954 | <1% | 15 | $3K | |
| D2394 | <1% | 20 | $2K | |
| D9941 | <1% | 12 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $390.00 |
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 officialRIZKALLAH, MOUHAB (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The Braces Place | Lawrence, MA | $15.59M |
| Mouhab Z Rizkallah DDS MSD PC | Somerville, MA | $11.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.