Dental
Sturbridge Children Dentistry
Sturbridge Children Dentistry was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoSTURBRIDGE CHILDREN DENTISTRY
STURBRIDGE, MA 01566
STURBRIDGE, MA 01566
33aNPI1770752974assigned 02/21/2008
33bProvider typePediatric Dentist
28Total paid$144K
24GClaims5,235
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#101 of 144
Median peer was paid$511K
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 | 1,312 | $36K | |
| 2019 | 1,038 | $28K | |
| 2020 | 552 | $15K | |
| 2021 | 720 | $20K | |
| 2022 | 712 | $20K | |
| 2023 | 600 | $16K | |
| 2024incomplete | 301 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,958 | 1,885 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 1,847 | 1,774 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 868 | 828 | $32K |
| D1110 | Prophylaxis - adult | 18% | 530 | 509 | $27K |
| D0272 | Bitewings - two radiographic images | <1% | 17 | 15 | $420.00 |
| D1330 | 0% | 15 | 14 | $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 officialRESTREPO, OLGA (PEDIATRIC DENTIST)