Dental
Penobscot Community Health Center
Penobscot Community Health Center was paid $17.44M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1053404996assigned 10/02/2006
33bProvider typeDentist
28Total paid$17.44M
24GClaims255,699
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Maine
Rank by total paid#1 of 36
Median peer was paid$11K
This provider vs. median1,601×
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 DWYER, LORI controls 20+ 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 | |
|---|---|---|---|
| 2018 | 47,096 | $2.79M | |
| 2019 | 47,692 | $2.90M | |
| 2020 | 29,883 | $1.78M | |
| 2021 | 32,417 | $2.09M | |
| 2022 | 27,156 | $1.77M | |
| 2023 | 35,978 | $2.95M | |
| 2024incomplete | 35,477 | $3.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 92,353 | 77,252 | $17.17M |
| D8670 | Periodic orthodontic treatment visit | <1% | 21,261 | 19,158 | $61K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14,884 | 14,125 | $54K |
| D2740 | Crown - porcelain/ceramic | <1% | 118 | 109 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 6,606 | 6,206 | $37K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,464 | 11,907 | $19K |
| D1206 | Topical application of fluoride varnish | <1% | 18,349 | 18,144 | $7K |
| D0330 | Panoramic radiographic image | <1% | 5,301 | 5,174 | $6K |
| D1110 | Prophylaxis - adult | <1% | 12,788 | 12,564 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 6,051 | 5,503 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 20,329 | 20,040 | $5K |
| D0270 | <1% | 3,311 | 3,176 | $5K |
33 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,242 | $4K |
| D8660 | <1% | 2,714 | $3K | |
| D1120 | Dental cleaning, child | <1% | 9,978 | $3K |
| D2940 | <1% | 501 | $2K | |
| D1354 | <1% | 419 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 7,713 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 277 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 420 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 4,215 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 990 | $1K |
| D2331 | <1% | 715 | $965.60 | |
| D1351 | Sealant - per tooth | <1% | 1,895 | $354.76 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,142 | $348.84 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 912 | $175.94 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,632 | $175.94 |
| D0340 | 0% | 324 | $0.00 | |
| D0350 | 0% | 345 | $0.00 | |
| D2332 | 0% | 160 | $0.00 | |
| D8692 | 0% | 12 | $0.00 | |
| D4910 | 0% | 56 | $0.00 | |
| D9110 | 0% | 100 | $0.00 | |
| D2950 | 0% | 38 | $0.00 | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 0% | 12 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 43 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 620 | $0.00 |
| D2335 | 0% | 86 | $0.00 | |
| D0470 | 0% | 404 | $0.00 | |
| D2330 | 0% | 561 | $0.00 | |
| D9310 | 0% | 228 | $0.00 | |
| D3310 | 0% | 12 | $0.00 | |
| D7220 | 0% | 13 | $0.00 | |
| D1352 | 0% | 89 | $0.00 | |
| D7230 | 0% | 16 | $0.00 |
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 officialDWYER, LORI (PRESIDENT & CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.