Dental
Park Square Dental PC
Park Square Dental PC was paid $27K by Medicaid between Oct 2018 and Nov 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 53% of everything it billed.
33Billing provider infoPARK SQUARE DENTAL PC
WESTFIELD, MA 01085
WESTFIELD, MA 01085
33aNPI1740636828assigned 05/09/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims725
24DCodes billed5
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#457 of 693
Median peer was paid$87K
This provider vs. median0.3×
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 | 27 | $783.00 | |
| 2019 | 54 | $2K | |
| 2020 | 61 | $2K | |
| 2021 | 65 | $3K | |
| 2022 | 116 | $5K | |
| 2023 | 213 | $8K | |
| 2024incomplete | 189 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 53% | 254 | 247 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 364 | 355 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 68 | 67 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 26 | 26 | $1K |
| D0274 | Bitewings - four radiographic images | 1.8% | 13 | 13 | $488.00 |
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 officialDONTHI REDDY, SUSHMA REDDY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ivory Dental PC | Southbridge, MA | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.