42 North Dental Care, LLC

42 North Dental Care, LLC was paid $339K by Medicaid between Jan 2020 and Jul 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider info42 NORTH DENTAL CARE, LLC
WATERTOWN, MA 02472

33aNPI1982250726assigned 08/16/2019

33bProvider typeDental Clinic/Center

28Total paid$339K

24GClaims7,900

24DCodes billed13

24AFirst – last monthJan 2020 – Jul 2024

Compared with peers

Next to other Dental Clinic/Center providers in Massachusetts

Rank by total paid#128 of 307

Median peer was paid$245K

This provider vs. median1.4×

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.

Entity ProliferationAuthorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more

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
2020	427	$21K
2021	944	$38K
2022	2,171	$88K
2023	2,778	$123K
2024incomplete	1,580	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	2,315	2,129	$114K
D4342		24%	1,117	336	$83K
D0210	Intraoral - complete series of radiographic images	12%	593	562	$41K
D0274	Bitewings - four radiographic images	9.9%	1,009	939	$33K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.3%	863	830	$18K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	352	338	$14K
D0220	Intraoral - periapical first radiographic image	4.0%	946	866	$14K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.4%	126	66	$8K
D0230	Intraoral - periapical each additional radiographic image	1.5%	435	314	$5K
D2950		1.2%	27	14	$4K
D0140	Limited oral evaluation - problem focused	<1%	81	77	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	21	12	$1K

1 more codes

D1208

Topical application of fluoride, excluding varnish

<1%

$372.00

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 officialSCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER)

Parent organization42 NORTH DENTAL CARE, LLC

Same official

Other billing entities under SCIALABBA, MICHAEL

Full network →

Provider	Location	Paid
42 North Dental Care, LLC	Waltham, MA	$2.23M
42 North Dental Care, LLC	Mansfield, MA	$1.17M
42 North Dental Care, LLC	Cambridge, MA	$138K
42 North Dental Care of Michigan, PLLC	Blissfield, MI	$70K
42 North Dental Care, LLC	Brookline, MA	$40K
42 North Dental Care of Indiana, LLC	Muncie, IN	$36K
42 North Dental Care of Michigan, PLLC	Almont, MI	$27K
42 North Dental Care of Michigan, PLLC	Charlotte, MI	$16K
42 North Dental Oral Surgery of Ma, PLLC	Quincy, MA	$15K
42 North Dental Care of Michigan, PLLC	Howell, MI	$3K
42 North Dental Care PLLC	Waterbury, CT	$0.00
42 North Dental Care PLLC	Southbury, CT	$0.00
42 North Dental Care PLLC	Manchester, CT	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.