Lumiere Dental Spa, LLC

Lumiere Dental Spa, LLC was paid $54K by Medicaid between Jan 2018 and Oct 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoLUMIERE DENTAL SPA, LLC
QUINCY, MA 02169

33aNPI1629346499assigned 12/08/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$54K

24GClaims1,540

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#390 of 693

Median peer was paid$87K

This provider vs. median0.6×

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	786	$28K
2019	304	$11K
2020	29	$783.00
2021	105	$3K
2022	150	$5K
2023	166	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	565	559	$15K
D1208	Topical application of fluoride, excluding varnish	27%	493	492	$15K
D1110	Prophylaxis - adult	23%	226	223	$13K
D1120	Dental cleaning, childProphylaxis - child	16%	169	168	$9K
D0274	Bitewings - four radiographic images	6.2%	87	86	$3K

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 officialHOVAIZI, NEDA (DENTIST)