Conant Street Dental LLC

Conant Street Dental LLC was paid $12K by Medicaid between Jan 2018 and Nov 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 78% of everything it billed.

33Billing provider infoCONANT STREET DENTAL LLC
DANVERS, MA 01923

33aNPI1710382676assigned 11/04/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims283

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#518 of 693

Median peer was paid$87K

This provider vs. median0.1×

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	181	$8K
2019	102	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	78%	197	192	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.1%	49	49	$981.00
D0210	Intraoral - complete series of radiographic images	6.9%	12	12	$840.00
D0150	Comprehensive oral evaluation - new or established patient	3.6%	12	12	$444.00
D0274	Bitewings - four radiographic images	3.5%	13	13	$429.00

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 officialSONG, SEUNGHEE (DENTIST)