Dental
Peachy Smiles Ashmont LLC
Peachy Smiles Ashmont LLC was paid $19K by Medicaid between Jun 2018 and May 2023, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 54% of everything it billed.
33Billing provider infoPEACHY SMILES ASHMONT LLC
DORCHESTER CENTER, MA 02124
DORCHESTER CENTER, MA 02124
33aNPI1831345834assigned 08/11/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims614
24DCodes billed9
24AFirst – last monthJun 2018 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#480 of 693
Median peer was paid$87K
This provider vs. median0.2×
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 | 62 | $2K | |
| 2020 | 131 | $5K | |
| 2021 | 208 | $8K | |
| 2022 | 189 | $4K | |
| 2023 | 24 | $868.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 54% | 222 | 208 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 126 | 122 | $3K |
| D0274 | Bitewings - four radiographic images | 8.8% | 58 | 54 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 19 | 18 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 28 | 27 | $909.74 |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 65 | 56 | $781.00 |
| D1206 | Topical application of fluoride varnish | 2.8% | 25 | 24 | $548.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 57 | 37 | $523.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 14 | 13 | $514.00 |
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 officialDORE-TYRELL, PEACH (DENTIST)