Clinic
North Shore Pediatric Dental Associates
North Shore Pediatric Dental Associates was paid $271K by Medicaid between Jan 2018 and Jun 2022, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoNORTH SHORE PEDIATRIC DENTAL ASSOCIATES
BEVERLY, MA 01915
BEVERLY, MA 01915
33aNPI1750555181assigned 04/16/2008
33bProvider typeDental Clinic/Center
28Total paid$271K
24GClaims8,431
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#141 of 307
Median peer was paid$245K
This provider vs. median1.1×
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 | 2,043 | $67K | |
| 2019 | 2,021 | $61K | |
| 2020 | 1,535 | $42K | |
| 2021 | 1,733 | $59K | |
| 2022 | 1,099 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 1,970 | 1,872 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,501 | 2,377 | $67K |
| D1206 | Topical application of fluoride varnish | 22% | 2,429 | 2,309 | $59K |
| D1110 | Prophylaxis - adult | 10% | 429 | 415 | $27K |
| D0272 | Bitewings - two radiographic images | 4.2% | 411 | 396 | $11K |
| D1351 | Sealant - per tooth | 3.1% | 239 | 104 | $8K |
| D0274 | Bitewings - four radiographic images | 1.6% | 101 | 101 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 17 | 12 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 53 | 42 | $964.02 |
| D1999 | 0% | 281 | 270 | $0.00 |
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 officialCAMPANELLA, LISA (DENTIST)