Clinic
Peabody Dental Spa, PLLC
Peabody Dental Spa, PLLC was paid $113K by Medicaid between Apr 2019 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoPEABODY DENTAL SPA, PLLC
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1831603968assigned 11/28/2017
33bProvider typeDental Clinic/Center
28Total paid$113K
24GClaims2,609
24DCodes billed10
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#189 of 307
Median peer was paid$245K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 24 | $1K | |
| 2020 | 147 | $7K | |
| 2021 | 185 | $8K | |
| 2022 | 706 | $26K | |
| 2023 | 951 | $47K | |
| 2024incomplete | 596 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 948 | 914 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 201 | 112 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 600 | 561 | $13K |
| D2740 | Crown - porcelain/ceramic | 10% | 16 | 13 | $12K |
| D0274 | Bitewings - four radiographic images | 7.2% | 236 | 215 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 182 | 177 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 256 | 209 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 43 | 26 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 112 | 96 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | 14 | $1K |
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 officialSHAH, DHARA (OWNER)