Clinic
Sacopee Valley Family Dentistry LLC
Sacopee Valley Family Dentistry LLC was paid $31K by Medicaid between Apr 2018 and Jun 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoSACOPEE VALLEY FAMILY DENTISTRY LLC
PORTER, ME 04068
PORTER, ME 04068
33aNPI1033523014assigned 06/17/2014
33bProvider typeDental Clinic/Center
28Total paid$31K
24GClaims1,599
24DCodes billed10
24AFirst – last monthApr 2018 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Maine
Rank by total paid#20 of 33
Median peer was paid$59K
This provider vs. median0.5×
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 | 299 | $6K | |
| 2019 | 168 | $5K | |
| 2020 | 381 | $4K | |
| 2021 | 504 | $10K | |
| 2022 | 247 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 547 | 425 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 288 | 223 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 83 | 44 | $5K |
| D1206 | Topical application of fluoride varnish | 9.1% | 301 | 242 | $3K |
| D1110 | Prophylaxis - adult | 7.4% | 145 | 101 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 53 | 39 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 73 | 46 | $920.00 |
| D1330 | 2.2% | 61 | 55 | $676.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | 12 | $240.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 35 | 25 | $200.00 |
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 officialMURRAY, CORY (DENTIST)