Dental
Mass One Dental LLC
Mass One Dental LLC was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 27% of everything it billed.
33Billing provider infoMASS ONE DENTAL LLC
REVERE, MA 02151
REVERE, MA 02151
33aNPI1720416050assigned 10/23/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$2.31M
24GClaims48,585
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#50 of 693
Median peer was paid$87K
This provider vs. median26×
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 | 6,421 | $219K | |
| 2019 | 6,316 | $206K | |
| 2020 | 3,760 | $115K | |
| 2021 | 6,118 | $217K | |
| 2022 | 7,129 | $408K | |
| 2023 | 10,597 | $658K | |
| 2024incomplete | 8,244 | $484K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 27% | 921 | 592 | $625K |
| D1110 | Prophylaxis - adult | 12% | 5,224 | 5,116 | $277K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 3,063 | 3,029 | $152K |
| D0274 | Bitewings - four radiographic images | 6.0% | 4,027 | 3,925 | $138K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 8,205 | 7,865 | $129K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 2,781 | 2,725 | $119K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 4,636 | 4,569 | $115K |
| D0180 | 4.5% | 2,258 | 2,217 | $104K | |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 2,710 | 2,599 | $102K |
| D9945 | 4.2% | 340 | 324 | $96K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 6,447 | 6,199 | $86K |
| D1206 | Topical application of fluoride varnish | 2.6% | 2,291 | 2,279 | $59K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,602 | $49K |
| D1351 | Sealant - per tooth | 1.9% | 1,111 | $44K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.8% | 308 | $43K |
| D0272 | Bitewings - two radiographic images | 1.5% | 1,112 | $34K |
| D2950 | 1.0% | 159 | $24K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 344 | $23K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 298 | $22K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 40 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 265 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 239 | $14K |
| D9110 | <1% | 153 | $6K | |
| D4341 | <1% | 36 | $4K | |
| D2954 | <1% | 15 | $2K |
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 officialHUANG, LI TING (CO-OWNER)