Clinic
Michael G. Dominov, DDS PC
Michael G. Dominov, DDS PC was paid $2K by Medicaid between Jan 2018 and Dec 2019, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoMICHAEL G. DOMINOV, DDS PC
LEE, MA 01238
LEE, MA 01238
33aNPI1982803078assigned 07/17/2007
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims40
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#287 of 307
Median peer was paid$245K
This provider vs. median0.0×
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 | 26 | $1K | |
| 2019 | 14 | $637.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 40 | 38 | $2K |
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 officialDOMINOV, MICHAEL (PRESIDENT)