Dental
Lisbon Family Dental Care
Lisbon Family Dental Care was paid $5K by Medicaid between Jul 2020 and Aug 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoLISBON FAMILY DENTAL CARE
LISBON FALLS, ME 04252
LISBON FALLS, ME 04252
33aNPI1083003255assigned 01/12/2015
33bProvider typeDentist
28Total paid$5K
24GClaims242
24DCodes billed3
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers
Next to other Dentist providers in Maine
Rank by total paid#26 of 36
Median peer was paid$11K
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 | |
|---|---|---|---|
| 2020 | 16 | $144.00 | |
| 2023 | 52 | $998.72 | |
| 2024incomplete | 174 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 102 | 75 | $2K |
| D1206 | Topical application of fluoride varnish | 28% | 93 | 65 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 47 | 28 | $1K |
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 officialPULKKA, JENNA (DENTIST)