Dental
Revere Pediatric Dentistry
Revere Pediatric Dentistry was paid $1.30M by Medicaid between Feb 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoREVERE PEDIATRIC DENTISTRY
REVERE, MA 02151
REVERE, MA 02151
33aNPI1912357336assigned 06/16/2016
33bProvider typePediatric Dentist
28Total paid$1.30M
24GClaims29,688
24DCodes billed22
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#52 of 144
Median peer was paid$511K
This provider vs. median2.5×
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 | 1,430 | $49K | |
| 2019 | 1,857 | $62K | |
| 2020 | 1,875 | $54K | |
| 2021 | 3,123 | $114K | |
| 2022 | 5,444 | $244K | |
| 2023 | 7,671 | $367K | |
| 2024incomplete | 8,288 | $409K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 5,046 | 4,927 | $256K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,494 | 656 | $163K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 804 | 262 | $154K |
| D1206 | Topical application of fluoride varnish | 12% | 5,783 | 5,658 | $151K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,890 | 4,777 | $141K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 845 | 399 | $82K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 928 | 896 | $55K |
| D0274 | Bitewings - four radiographic images | 3.5% | 1,069 | 1,031 | $46K |
| D0272 | Bitewings - two radiographic images | 3.2% | 1,414 | 1,389 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 468 | 258 | $40K |
| D1110 | Prophylaxis - adult | 2.8% | 540 | 532 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 1,636 | 1,576 | $32K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 2,433 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 179 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 794 | $16K |
| D1351 | Sealant - per tooth | 1.1% | 374 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 106 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 211 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 47 | $5K |
| D0330 | Panoramic radiographic image | <1% | 29 | $2K |
| D1999 | 0% | 288 | $0.00 | |
| D1330 | 0% | 310 | $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 officialBALOUL, KAMAR (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Awesome Kids Teeth | Framingham, MA | $4.16M |
| Framigham Orthodontics PC | Framingham, MA | $173K |
| Kamar Baloul P.C. | Boston, MA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.