Dental
Pettengill, Marina
Pettengill, Marina was paid $49K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoPETTENGILL, MARINA
PLAINVILLE, MA 02762
PLAINVILLE, MA 02762
33aNPI1982622122assigned 07/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$49K
24GClaims1,691
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#402 of 693
Median peer was paid$87K
This provider vs. median0.6×
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 | 664 | $16K | |
| 2019 | 490 | $14K | |
| 2020 | 234 | $8K | |
| 2021 | 102 | $3K | |
| 2022 | 105 | $4K | |
| 2023 | 68 | $3K | |
| 2024incomplete | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 784 | 672 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 26% | 552 | 451 | $13K |
| D1110 | Prophylaxis - adult | 16% | 133 | 119 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 144 | 124 | $6K |
| D0274 | Bitewings - four radiographic images | 5.8% | 78 | 70 | $3K |
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.