Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Doctors of West Roxbury LLC

Doctors of West Roxbury LLC was paid $916K by Medicaid between Dec 2021 and Dec 2024, across 17 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 64% of everything it billed.

33Billing provider infoDOCTORS OF WEST ROXBURY LLC
WEST ROXBURY, MA 02132
33aNPI1891462420assigned 08/23/2021
28Total paid$916K
24GClaims7,724
24DCodes billed17
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#112 of 693
Median peer was paid$87K
This provider vs. median11×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202132$1K
20222,030$240K
20232,714$337K
2024incomplete2,948$338K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2740 Crown - porcelain/ceramic 64% 856 470 $583K
D1110 Prophylaxis - adult 10% 1,791 1,719 $93K
D2950 9.9% 591 331 $91K
D0210 Intraoral - complete series of radiographic images 3.6% 455 436 $33K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.3% 1,366 1,322 $31K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 497 471 $20K
D0274 Bitewings - four radiographic images 1.8% 464 443 $16K
D0140 Limited oral evaluation - problem focused 1.4% 323 307 $13K
D0220 Intraoral - periapical first radiographic image 1.3% 819 759 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.2% 124 79 $11K
D1208 Topical application of fluoride, excluding varnish <1% 172 168 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 49 25 $4K
5 more codes
D2954 <1% 17 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 159 $2K
D0330 Panoramic radiographic image <1% 14 $945.00
D1120 Dental cleaning, child <1% 13 $715.00
D0270 <1% 14 $171.00

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 officialBADAWI, LINA (MANAGER)