PEDIATRIC DENTAL GROUP INC

NPI: 1669767117 · MARLBOROUGH, MA 01752 · Pediatric Dentist · NPI assigned 06/13/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PACHELLO, TODD controls 15+ related entities in our dataset. Read more

$79K

Total Medicaid Paid

3,617

Total Claims

2,843

Beneficiaries

Codes Billed

2018-01

First Month

2018-08

Last Month

Provider Details

Authorized Official	PACHELLO, TODD (PRESIDENT CHIEF REVENUE OFFICER)
NPI Enumeration Date	06/13/2011

Other providers sharing the same authorized official: PACHELLO, TODD

Provider	City	State	Total Paid
NEW ENGLAND FAMILY DENTAL PC	FRAMINGHAM	MA	$14.64M
NEW ENGLAND FAMILY DENTISTRY ,PC	LYNN	MA	$14.07M
NEW ENGLAND FAMILY DENTISTRY, PC	HOLYOKE	MA	$12.70M
NEW ENGLAND FAMILY DENTISTRY, PC	LAWRENCE	MA	$12.46M
NEW ENGLAND FAMILY DENTISTRY	BROCKTON	MA	$10.41M
PEDIATRIC DENTAL GROUP, INC	MILFORD	MA	$7.08M
NEW ENGLAND FAMILY DENTISTRY, PC	MATTAPAN	MA	$6.82M
NEW ENGLAND FAMILY DENTISTRY	WORCESTER	MA	$3.25M
THE PEDIATRIC DENTAL GROUP	FRAMINGHAM	MA	$2.57M
NEW ENGLAND FAMILY DENTISTRY ,PC	SPRINGFIELD	MA	$1.84M
PEABODY DENTAL SPECIALTIES PLLC	PEABODY	MA	$1.72M
NEW ENGLAND FAMILY DENTISTRY, PC	SOUTH ATTLEBORO	MA	$1.69M
WORCESTER ORAL SURGERY AND IMPLANT CENTERS PLLC	WORCESTER	MA	$1.54M
PEDIATRIC DENTAL GROUP INC	FRANKLIN	MA	$1.45M
PEDIATRIC DENTAL GROUP	NORTHBOROUGH	MA	$2K

Year	Claims	Total Paid
2018	3,617	$79K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	714	568	$28K
D0120	Periodic oral evaluation - established patient	697	563	$16K
D1206	Topical application of fluoride varnish	736	592	$15K
D0272	Bitewings - two radiographic images	348	274	$8K
D1351	Sealant - per tooth	134	36	$4K
D0150	Comprehensive oral evaluation - new or established patient	43	41	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	132	94	$2K
D1110	Prophylaxis - adult	29	26	$2K
D0274	Bitewings - four radiographic images	29	27	$1K
D8660		12	12	$310.00
D0603		499	413	$0.00
D0602		244	197	$0.00