Agency
Clean and Seal Dental Program
Clean and Seal Dental Program was paid $976K by Medicaid between Oct 2021 and Dec 2024, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 40% of everything it billed.
33Billing provider infoCLEAN AND SEAL DENTAL PROGRAM
DORCHESTER, MA 02124
DORCHESTER, MA 02124
33aNPI1821601170assigned 08/26/2020
33bProvider typePublic Health or Welfare Agency
28Total paid$976K
24GClaims27,989
24DCodes billed6
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Massachusetts
Rank by total paid#10 of 64
Median peer was paid$6K
This provider vs. median169×
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 | |
|---|---|---|---|
| 2021 | 1,845 | $63K | |
| 2022 | 6,974 | $259K | |
| 2023 | 9,356 | $330K | |
| 2024incomplete | 9,814 | $324K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 40% | 9,807 | 2,645 | $388K |
| D0190 | 20% | 7,118 | 7,051 | $197K | |
| D1206 | Topical application of fluoride varnish | 20% | 6,925 | 6,885 | $192K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 3,611 | 3,583 | $187K |
| D9410 | <1% | 276 | 270 | $7K | |
| D1354 | <1% | 252 | 82 | $4K |
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 officialBROOKS, FAITH (PUBLIC HEALTH DENTAL HYGIENIST)