Clinic
Pediatric Dental Arts
Pediatric Dental Arts was paid $440K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ARTS
WATERTOWN, MA 02472
WATERTOWN, MA 02472
33aNPI1790930154assigned 11/25/2008
33bProvider typeDental Clinic/Center
28Total paid$440K
24GClaims12,040
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#112 of 307
Median peer was paid$245K
This provider vs. median1.8×
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 | 2,187 | $79K | |
| 2019 | 2,223 | $79K | |
| 2020 | 1,535 | $55K | |
| 2021 | 1,707 | $62K | |
| 2022 | 1,751 | $67K | |
| 2023 | 1,446 | $54K | |
| 2024incomplete | 1,191 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 3,362 | 3,331 | $170K |
| D1208 | Topical application of fluoride, excluding varnish | 27% | 4,036 | 4,001 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 3,837 | 3,798 | $111K |
| D1110 | Prophylaxis - adult | 4.9% | 311 | 310 | $22K |
| D0272 | Bitewings - two radiographic images | 2.2% | 328 | 327 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 132 | 131 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 21 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 13 | 13 | $598.00 |
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 officialRAFFA, CATERINA (PEDIATRIC DENTIST)