Dental
Apollo Dental Ass.
Apollo Dental Ass. was paid $108K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoAPOLLO DENTAL ASS.
DORCHESTER, MA 02125
DORCHESTER, MA 02125
33aNPI1700148301assigned 06/11/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$108K
24GClaims3,265
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#326 of 693
Median peer was paid$87K
This provider vs. median1.2×
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 | 1,963 | $63K | |
| 2019 | 774 | $24K | |
| 2020 | 140 | $5K | |
| 2022 | 42 | $2K | |
| 2023 | 135 | $6K | |
| 2024incomplete | 211 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 707 | 691 | $37K |
| D0140 | Limited oral evaluation - problem focused | 13% | 330 | 320 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 660 | 593 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 414 | 410 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.1% | 117 | 44 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 227 | 225 | $6K |
| D0274 | Bitewings - four radiographic images | 5.2% | 161 | 156 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 109 | 107 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 401 | 357 | $5K |
| D9110 | 3.1% | 84 | 75 | $3K | |
| D0330 | Panoramic radiographic image | 3.0% | 55 | 53 | $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 officialBUI, DIEUTRANG (OWNER)
Parent organizationAPOLLO DENTAL ASS