Cale, Scott

Cale, Scott was paid $41K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.

33Billing provider infoCALE, SCOTT
WELLESLEY, MA 02482

33aNPI1972519056assigned 07/31/2006

33bProvider typeDentist

28Total paid$41K

24GClaims984

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Massachusetts

Rank by total paid#257 of 413

Median peer was paid$93K

This provider vs. median0.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/20/2024).

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	372	$14K
2019	32	$1K
2020	12	$0.00
2023	272	$12K
2024incomplete	296	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	65%	518	503	$26K
D1206	Topical application of fluoride varnish	9.3%	97	97	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.1%	161	161	$4K
D0140	Limited oral evaluation - problem focused	5.2%	60	53	$2K
D0210	Intraoral - complete series of radiographic images	4.2%	26	25	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	58	55	$2K
D0220	Intraoral - periapical first radiographic image	1.6%	50	42	$640.00
D9410		1.3%	14	13	$546.00

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.