Clinic
Professional Dental Image
Professional Dental Image was paid $2K by Medicaid between Dec 2018 and Jan 2020, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 72% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL IMAGE
WATERTOWN, MA 02472
WATERTOWN, MA 02472
33aNPI1881105484assigned 10/23/2017
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims39
24DCodes billed2
24AFirst – last monthDec 2018 – Jan 2020
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#288 of 307
Median peer was paid$245K
This provider vs. median0.0×
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 | 12 | $539.00 | |
| 2020 | 27 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 72% | 26 | 26 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 13 | 13 | $481.00 |
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 officialZAKKOOM, MUSTAFA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Lynn Dental Associates, PLLC | Lynn, MA | $1.26M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.