Dental
Portsmouth Pediatric Dentistry
Portsmouth Pediatric Dentistry was paid $376K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoPORTSMOUTH PEDIATRIC DENTISTRY
PORTSMOUTH, NH 03801
PORTSMOUTH, NH 03801
33aNPI1083768188assigned 01/23/2007
33bProvider typePediatric Dentist
28Total paid$376K
24GClaims13,263
24DCodes billed9
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#14 of 36
Median peer was paid$260K
This provider vs. median1.4×
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 | 2,204 | $61K | |
| 2019 | 3,748 | $96K | |
| 2020 | 2,282 | $65K | |
| 2021 | 1,740 | $51K | |
| 2022 | 1,445 | $41K | |
| 2023 | 1,181 | $37K | |
| 2024incomplete | 663 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 4,918 | 4,751 | $150K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 2,906 | 2,784 | $101K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 4,235 | 4,072 | $76K |
| D1110 | Prophylaxis - adult | 7.2% | 518 | 493 | $27K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 326 | 289 | $12K |
| D0272 | Bitewings - two radiographic images | 1.8% | 259 | 251 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 31 | 31 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 43 | 42 | $1K |
| D0330 | Panoramic radiographic image | <1% | 27 | 17 | $525.00 |
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 officialFILOCOMA, DEBRA (VICE PRESIDENT)