Dental
Lighthouse Pediatric Dentistry PC
Lighthouse Pediatric Dentistry PC was paid $359K by Medicaid between Mar 2022 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoLIGHTHOUSE PEDIATRIC DENTISTRY PC
AUGUSTA, ME 04330
AUGUSTA, ME 04330
33aNPI1134871171assigned 01/20/2022
33bProvider typePediatric Dentist
28Total paid$359K
24GClaims10,359
24DCodes billed13
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maine
Rank by total paid#14 of 17
Median peer was paid$748K
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 | |
|---|---|---|---|
| 2022 | 2,990 | $90K | |
| 2023 | 3,457 | $131K | |
| 2024incomplete | 3,912 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,717 | 1,673 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,036 | 1,993 | $61K |
| D1206 | Topical application of fluoride varnish | 14% | 2,350 | 2,295 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 396 | 252 | $39K |
| D1110 | Prophylaxis - adult | 9.6% | 575 | 566 | $34K |
| D0272 | Bitewings - two radiographic images | 9.1% | 1,139 | 1,119 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.9% | 917 | 854 | $28K |
| D1354 | 3.9% | 592 | 135 | $14K | |
| D1351 | Sealant - per tooth | 3.1% | 446 | 114 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 53 | 37 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 37 | 27 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 89 | 88 | $2K |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 12 | $998.88 |
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 officialBLANCHFIELD, ASHLEY (PEDIATRIC DENTIST)