Lab
Moynihan Dental Specialists LLC
Moynihan Dental Specialists LLC was paid $394K by Medicaid between Sep 2019 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoMOYNIHAN DENTAL SPECIALISTS LLC
NORTHBOROUGH, MA 01532
NORTHBOROUGH, MA 01532
33aNPI1841852126assigned 07/08/2019
33bProvider typeDental Laboratory
28Total paid$394K
24GClaims10,961
24DCodes billed13
24AFirst – last monthSep 2019 – Dec 2024
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 | 1,221 | $33K | |
| 2020 | 1,821 | $64K | |
| 2021 | 2,291 | $79K | |
| 2022 | 2,692 | $101K | |
| 2023 | 1,747 | $68K | |
| 2024incomplete | 1,189 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 2,400 | 2,296 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 3,547 | 3,419 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,338 | 1,290 | $65K |
| D1206 | Topical application of fluoride varnish | 8.5% | 1,240 | 1,232 | $33K |
| D0272 | Bitewings - two radiographic images | 5.2% | 794 | 735 | $21K |
| D0274 | Bitewings - four radiographic images | 4.6% | 485 | 474 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 629 | 575 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 367 | 329 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 33 | 24 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 69 | 64 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 26 | 26 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 18 | 13 | $1K |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | $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 officialMOYNIHAN, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bite Size Dental Care | Nantucket, MA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.