Dental
Wollaston Dental Care, INC
Wollaston Dental Care, INC was paid $169K by Medicaid between Jan 2018 and Jul 2019, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoWOLLASTON DENTAL CARE, INC
QUINCY, MA 02170
QUINCY, MA 02170
33aNPI1871765966assigned 03/28/2008
33bProvider typeDentist
28Total paid$169K
24GClaims6,234
24DCodes billed13
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#164 of 413
Median peer was paid$93K
This provider vs. median1.8×
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 | 5,280 | $147K | |
| 2019 | 954 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 1,057 | 1,027 | $52K |
| D0274 | Bitewings - four radiographic images | 16% | 840 | 812 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,040 | 1,002 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 9.7% | 1,181 | 1,111 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 1,065 | 904 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 127 | 78 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 200 | 196 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 142 | 61 | $7K |
| D0330 | Panoramic radiographic image | 3.0% | 183 | 181 | $5K |
| D1206 | Topical application of fluoride varnish | 2.6% | 178 | 175 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 112 | 103 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 66 | 66 | $3K |
1 more codes
| D1330 | <1% | 43 | $28.00 |
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 officialLEE, JENNIFER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bear Dental Group Prof. LLC | Lakewood, CO | $486K |
| Kang and Lee Dentistry, a Professional Corporation | Rowland Heights, CA | $211K |
| Washington Pacific Eye Associates INC. | Kirkland, WA | $209K |
| Cheng Family Dental INC | Honolulu, HI | $158K |
| K. Kang, J. Lee & P. Kang DDS INC | Whittier, CA | $12K |
| Lee Dermatology, P.C. | San Francisco, CA | $1K |
| Joint & Spine Physical Therapy PC | Fort Lee, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.