Dental
Five-Town Health Alliance, INC
Five-Town Health Alliance, INC was paid $229K by Medicaid between Sep 2019 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoFIVE-TOWN HEALTH ALLIANCE, INC
BRISTOL, VT 05443
BRISTOL, VT 05443
33aNPI1013562636assigned 08/09/2019
33bProvider typeDentist
28Total paid$229K
24GClaims6,567
24DCodes billed13
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Vermont
Rank by total paid#11 of 47
Median peer was paid$48K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2019 | 357 | $9K | |
| 2020 | 379 | $13K | |
| 2021 | 1,115 | $34K | |
| 2022 | 2,610 | $72K | |
| 2023 | 1,172 | $48K | |
| 2024incomplete | 934 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,950 | 1,692 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,476 | 1,232 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 683 | 512 | $27K |
| D0274 | Bitewings - four radiographic images | 6.6% | 523 | 462 | $15K |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 419 | 302 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 245 | 170 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 62 | 49 | $10K |
| D1206 | Topical application of fluoride varnish | 4.2% | 627 | 537 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 50 | 28 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 350 | 253 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 151 | 124 | $4K |
| D4910 | <1% | 13 | 13 | $858.00 |
1 more codes
| D1354 | <1% | 18 | $258.00 |
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 officialMELBOSTAD, HEIDI (CHIEF EXECUTIVE OFFICER)
Parent organizationFIVE-TOWN HEALTH ALLIANCE, INC
| Provider | Location | Paid |
|---|---|---|
| Five-Town Health Alliance, INC | Bristol, VT | $3.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.