Dental
South Boston Family Dental LLC
South Boston Family Dental LLC was paid $5K by Medicaid between Aug 2021 and Mar 2024, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 59% of everything it billed.
33Billing provider infoSOUTH BOSTON FAMILY DENTAL LLC
SOUTH BOSTON, MA 02127
SOUTH BOSTON, MA 02127
33aNPI1730598871assigned 08/02/2014
33bProvider typeDentist
28Total paid$5K
24GClaims128
24DCodes billed2
24AFirst – last monthAug 2021 – Mar 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#319 of 413
Median peer was paid$93K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 28 | $1K | |
| 2022 | 14 | $308.00 | |
| 2023 | 62 | $2K | |
| 2024incomplete | 24 | $996.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 59% | 55 | 53 | $3K |
| D1206 | Topical application of fluoride varnish | 41% | 73 | 70 | $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 officialLIU, CONNIE (OFFICE MANAGER)