Dental
JR Dental PLLC
JR Dental PLLC was paid $39K by Medicaid between Oct 2021 and Sep 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoJR DENTAL PLLC
CONCORD, MA 01742
CONCORD, MA 01742
33aNPI1649841776assigned 07/09/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$39K
24GClaims902
24DCodes billed7
24AFirst – last monthOct 2021 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#417 of 693
Median peer was paid$87K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 58 | $3K | |
| 2022 | 109 | $6K | |
| 2023 | 443 | $18K | |
| 2024incomplete | 292 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 394 | 382 | $20K |
| D0274 | Bitewings - four radiographic images | 11% | 125 | 120 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 105 | 103 | $4K |
| D0330 | Panoramic radiographic image | 11% | 80 | 72 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 130 | 121 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 32 | 32 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 36 | 31 | $1K |
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 officialDAI, RUOXI (DENTIST)