Dental
Hanover Pediatric Dentistry, PLLC
Hanover Pediatric Dentistry, PLLC was paid $1.58M by Medicaid between Nov 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoHANOVER PEDIATRIC DENTISTRY, PLLC
HANOVER, MA 02339
HANOVER, MA 02339
33aNPI1902313570assigned 01/04/2018
33bProvider typePediatric Dentist
28Total paid$1.58M
24GClaims37,639
24DCodes billed25
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#40 of 144
Median peer was paid$511K
This provider vs. median3.1×
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 | 26 | $976.00 | |
| 2019 | 1,499 | $53K | |
| 2020 | 2,797 | $71K | |
| 2021 | 5,809 | $207K | |
| 2022 | 7,397 | $305K | |
| 2023 | 10,432 | $502K | |
| 2024incomplete | 9,679 | $440K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 7,518 | 7,451 | $386K |
| D1206 | Topical application of fluoride varnish | 14% | 8,081 | 8,020 | $215K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 6,031 | 5,989 | $180K |
| D7962 | 7.9% | 358 | 355 | $124K | |
| D7961 | 7.3% | 335 | 329 | $115K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 1,880 | 1,866 | $110K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 799 | 454 | $92K |
| D0272 | Bitewings - two radiographic images | 5.2% | 2,730 | 2,709 | $83K |
| D1351 | Sealant - per tooth | 3.9% | 1,533 | 527 | $61K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,034 | 1,990 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 1,346 | 1,260 | $27K |
| D1110 | Prophylaxis - adult | 1.4% | 323 | 321 | $22K |
13 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,680 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 100 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 322 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 146 | $15K |
| D1354 | <1% | 1,120 | $15K | |
| D0330 | Panoramic radiographic image | <1% | 152 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 218 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 82 | $8K |
| D9110 | <1% | 57 | $4K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 31 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 58 | $2K |
| D1999 | 0% | 684 | $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 officialGROFF, TARA (OWNER/PEDIATRIC DENTIST)