Dental
Somerville Pediatric Dentistry and Orthodontics
Somerville Pediatric Dentistry and Orthodontics was paid $155K by Medicaid between Feb 2020 and Nov 2024, across 7 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 87% of everything it billed.
33Billing provider infoSOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS
SOMERVILLE, MA 02145
SOMERVILLE, MA 02145
33aNPI1790254845assigned 11/19/2018
33bProvider typePediatric Dentist
28Total paid$155K
24GClaims961
24DCodes billed7
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#100 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 | |
|---|---|---|---|
| 2020 | 51 | $2K | |
| 2021 | 423 | $28K | |
| 2022 | 81 | $22K | |
| 2023 | 173 | $40K | |
| 2024incomplete | 233 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 87% | 494 | 483 | $135K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 169 | 168 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 174 | 173 | $5K |
| D9310 | 1.6% | 41 | 41 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 36 | 36 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 30 | 30 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 17 | 17 | $470.00 |
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 officialLEE, MOONYOUNG (PRESIDENT)