Dental
Maine Tiny Dental LLC
Maine Tiny Dental LLC was paid $159K by Medicaid between Aug 2024 and Dec 2024, across 19 billing codes. Its largest line is D1355, — 55% of everything it billed.
33Billing provider infoMAINE TINY DENTAL LLC
NEW SHARON, ME 04955
NEW SHARON, ME 04955
33aNPI1124877147assigned 05/13/2024
33bProvider typeDental Hygienist
28Total paid$159K
24GClaims6,449
24DCodes billed19
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Maine
Rank by total paid#17 of 33
Median peer was paid$159K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2024incomplete | 6,449 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1355 | 55% | 4,344 | 184 | $88K | |
| D4341 | 7.1% | 68 | 27 | $11K | |
| D2940 | 5.3% | 138 | 37 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 445 | 125 | $7K |
| D0190 | 4.3% | 317 | 288 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 71 | 71 | $7K |
| D1110 | Prophylaxis - adult | 4.0% | 90 | 89 | $6K |
| D1310 | 3.5% | 220 | 218 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 182 | 134 | $4K |
| D0274 | Bitewings - four radiographic images | 2.3% | 80 | 79 | $4K |
| D4355 | 1.9% | 28 | 28 | $3K | |
| D1320 | 1.4% | 72 | 69 | $2K |
7 more codes
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 officialDESOUZA, KELLI (INDEPENDENT DENTAL HYGIENIST)