Dental
Ultimate Dental Care of Randolph , PC
Ultimate Dental Care of Randolph , PC was paid $23K by Medicaid between Jun 2019 and Apr 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoULTIMATE DENTAL CARE OF RANDOLPH , PC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1831670678assigned 08/28/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims767
24DCodes billed7
24AFirst – last monthJun 2019 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#467 of 693
Median peer was paid$87K
This provider vs. median0.3×
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 | 437 | $15K | |
| 2020 | 251 | $6K | |
| 2021 | 79 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 188 | 181 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 203 | 197 | $5K |
| D1206 | Topical application of fluoride varnish | 13% | 137 | 136 | $3K |
| D0274 | Bitewings - four radiographic images | 13% | 92 | 87 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 35 | 33 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 31 | 31 | $1K |
| D1999 | 0% | 81 | 74 | $0.00 |
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 officialSALLOUM, EYAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Randolph Family Dentistry PC | Randolph, MA | $6K |
| Norton Family Dental Group | Norton, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.