Dental
Somerville Pediatric Dentistry PC
Somerville Pediatric Dentistry PC was paid $21K by Medicaid between Jan 2024 and Dec 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoSOMERVILLE PEDIATRIC DENTISTRY PC
SOMERVILLE, MA 02145
SOMERVILLE, MA 02145
33aNPI1740061613assigned 10/09/2023
33bProvider typePediatric Dentist
28Total paid$21K
24GClaims484
24DCodes billed4
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#130 of 144
Median peer was paid$511K
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 | |
|---|---|---|---|
| 2024incomplete | 484 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 148 | 148 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 33% | 225 | 225 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 98 | 98 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 13 | 13 | $403.00 |
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 officialTHACH, LEE (PEDIATRIC DENTIST)