Dental
Randolph Dental Group LLC
Randolph Dental Group LLC was paid $330K by Medicaid between Jan 2020 and Oct 2024, across 15 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 45% of everything it billed.
33Billing provider infoRANDOLPH DENTAL GROUP LLC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1801440656assigned 07/30/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$330K
24GClaims5,875
24DCodes billed15
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#209 of 693
Median peer was paid$87K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2020 | 2,062 | $92K | |
| 2021 | 1,802 | $86K | |
| 2022 | 731 | $35K | |
| 2023 | 1,008 | $85K | |
| 2024incomplete | 272 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 45% | 725 | 610 | $150K |
| D1110 | Prophylaxis - adult | 23% | 1,513 | 1,337 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 1,161 | 1,036 | $26K |
| D0274 | Bitewings - four radiographic images | 7.3% | 655 | 603 | $24K |
| D1206 | Topical application of fluoride varnish | 6.4% | 836 | 792 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 176 | 171 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 97 | 87 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 80 | 54 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 82 | 75 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 123 | 109 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 71 | 63 | $2K |
3 more codes
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 officialKENNEY, VICKI (CREDENTIALING SPECIALIST)