Dental
Pediatric Dental Professionals LLC
Pediatric Dental Professionals LLC was paid $238K by Medicaid between Jan 2018 and Nov 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL PROFESSIONALS LLC
LYNN, MA 01901
LYNN, MA 01901
33aNPI1730544743assigned 12/17/2015
33bProvider typePediatric Dentist
28Total paid$238K
24GClaims6,625
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#90 of 144
Median peer was paid$511K
This provider vs. median0.5×
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 | 1,246 | $45K | |
| 2019 | 1,450 | $53K | |
| 2020 | 1,504 | $55K | |
| 2021 | 2,425 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 1,854 | 1,837 | $91K |
| D1208 | Topical application of fluoride, excluding varnish | 23% | 1,992 | 1,971 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,580 | 1,566 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 364 | 352 | $18K |
| D0272 | Bitewings - two radiographic images | 4.6% | 375 | 366 | $11K |
| D1110 | Prophylaxis - adult | 3.5% | 161 | 153 | $8K |
| D1351 | Sealant - per tooth | 2.3% | 139 | 33 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 57 | 57 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 75 | 75 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | 28 | $1K |
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 officialJAVEDAN, PEDRAM (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Cambridge Children's Dentistry PC | Cambridge, MA | $298K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.