Dental
Nine West Main Dental, LLC
Nine West Main Dental, LLC was paid $1.02M by Medicaid between Apr 2018 and Dec 2024, across 26 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoNINE WEST MAIN DENTAL, LLC
WEST BROOKFIELD, MA 01585
WEST BROOKFIELD, MA 01585
33aNPI1962900639assigned 01/29/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.02M
24GClaims28,442
24DCodes billed26
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#107 of 693
Median peer was paid$87K
This provider vs. median12×
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 | 3,905 | $146K | |
| 2019 | 3,804 | $136K | |
| 2020 | 3,868 | $95K | |
| 2021 | 4,641 | $133K | |
| 2022 | 3,654 | $143K | |
| 2023 | 5,242 | $204K | |
| 2024incomplete | 3,328 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 4,203 | 4,094 | $222K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,675 | 2,647 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 5,467 | 5,346 | $128K |
| D0274 | Bitewings - four radiographic images | 9.4% | 2,848 | 2,778 | $95K |
| D1206 | Topical application of fluoride varnish | 9.2% | 3,779 | 3,742 | $93K |
| D8670 | Periodic orthodontic treatment visit | 7.6% | 281 | 274 | $77K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 524 | 333 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 622 | 399 | $40K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 977 | 922 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 647 | 629 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,976 | 1,865 | $27K |
| D0330 | Panoramic radiographic image | 2.3% | 440 | 433 | $23K |
14 more codes
| D1351 | Sealant - per tooth | 1.9% | 508 | $19K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 219 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 958 | $11K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 16 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 121 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 150 | $4K |
| D2160 | <1% | 39 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 47 | $3K |
| D2140 | <1% | 40 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $377.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | $273.00 |
| D1999 | 0% | 1,845 | $0.00 | |
| D9995 | 0% | 17 | $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 officialHODGERNEY, AIMEE (OPERATIONNS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry and Orthodontics PLLC | New Britain, CT | $4.90M |
| Simply Orthodontics of Marlborough, PLLC | Marlborough, MA | $162K |
| Super Dental of Worcester PLLC | Worcester, MA | $120K |
| Simply Dental of Londonderry Miles of Smiles | Londonderry, NH | $104K |
| Simply Dental and Orthodontics of Wayland ,PLLC | Wayland, MA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.