Dental
Riverside Pediatric Dentistry, LLC
Riverside Pediatric Dentistry, LLC was paid $356K by Medicaid between Jul 2022 and Dec 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoRIVERSIDE PEDIATRIC DENTISTRY, LLC
AMESBURY, MA 01913
AMESBURY, MA 01913
33aNPI1922770494assigned 10/01/2021
33bProvider typePediatric Dentist
28Total paid$356K
24GClaims8,077
24DCodes billed14
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#84 of 144
Median peer was paid$511K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 1,259 | $50K | |
| 2023 | 3,326 | $153K | |
| 2024incomplete | 3,492 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 713 | 348 | $77K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,514 | 1,403 | $75K |
| D1206 | Topical application of fluoride varnish | 13% | 1,809 | 1,684 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 763 | 671 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 1,165 | 1,095 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.4% | 408 | 200 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 721 | 500 | $15K |
| D1110 | Prophylaxis - adult | 4.0% | 209 | 197 | $14K |
| D0272 | Bitewings - two radiographic images | 2.4% | 351 | 273 | $9K |
| D0274 | Bitewings - four radiographic images | 1.1% | 105 | 87 | $4K |
| D1351 | Sealant - per tooth | <1% | 73 | 25 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | 12 | $2K |
2 more codes
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 officialCOOK, RACHEL (DENTAL DIRECTOR)