Dental
Crystal Lake Dental PC
Crystal Lake Dental PC was paid $83K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 68% of everything it billed.
33Billing provider infoCRYSTAL LAKE DENTAL PC
WAKEFIELD, MA 01880
WAKEFIELD, MA 01880
33aNPI1700059441assigned 04/02/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$83K
24GClaims2,376
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#355 of 693
Median peer was paid$87K
This provider vs. median1.0×
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 | 485 | $18K | |
| 2019 | 376 | $14K | |
| 2020 | 515 | $11K | |
| 2021 | 363 | $14K | |
| 2022 | 259 | $10K | |
| 2023 | 267 | $10K | |
| 2024incomplete | 111 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 68% | 1,063 | 1,032 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 902 | 875 | $21K |
| D0274 | Bitewings - four radiographic images | 5.2% | 122 | 117 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 72 | 65 | $1K |
| D1999 | 0% | 99 | 96 | $0.00 | |
| D0190 | 0% | 118 | 108 | $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 officialGYURKO, CSILLA (OWNER)