Dental
Ivory Dental PC
Ivory Dental PC was paid $140K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoIVORY DENTAL PC
SOUTHBRIDGE, MA 01550
SOUTHBRIDGE, MA 01550
33aNPI1770902090assigned 04/15/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$140K
24GClaims3,475
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#296 of 693
Median peer was paid$87K
This provider vs. median1.6×
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 | 425 | $16K | |
| 2019 | 1,049 | $44K | |
| 2020 | 509 | $21K | |
| 2021 | 509 | $19K | |
| 2022 | 509 | $21K | |
| 2023 | 346 | $14K | |
| 2024incomplete | 128 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 991 | 984 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,110 | 1,105 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 265 | 261 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 227 | 226 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 340 | 340 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 186 | 186 | $9K |
| D0274 | Bitewings - four radiographic images | 3.3% | 121 | 121 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 111 | 107 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 23 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 101 | 98 | $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 officialDONTHI REDDY, SUSHMA REDDY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Park Square Dental PC | Westfield, MA | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.