Dental
Exeter Pediatric Dentistry and Orthodontics, PLLC
Exeter Pediatric Dentistry and Orthodontics, PLLC was paid $112K by Medicaid between Aug 2020 and Jun 2022, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoEXETER PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
EXETER, NH 03833
EXETER, NH 03833
33aNPI1144846007assigned 06/17/2020
33bProvider typePediatric Dentist
28Total paid$112K
24GClaims3,780
24DCodes billed14
24AFirst – last monthAug 2020 – Jun 2022
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#21 of 36
Median peer was paid$260K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 543 | $15K | |
| 2021 | 1,938 | $55K | |
| 2022 | 1,299 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,028 | 989 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 826 | 793 | $30K |
| D1206 | Topical application of fluoride varnish | 17% | 1,069 | 1,024 | $19K |
| D1110 | Prophylaxis - adult | 8.8% | 205 | 191 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.7% | 224 | 182 | $9K |
| D0272 | Bitewings - two radiographic images | 3.8% | 166 | 160 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 54 | 54 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 19 | 12 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 85 | 85 | $2K |
| D1351 | Sealant - per tooth | <1% | 31 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 16 | 16 | $544.16 |
| D0330 | Panoramic radiographic image | <1% | 15 | 15 | $518.18 |
2 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 officialJUDGE-PROULX, JULIE (DIRECTOR OF OPERATIONS)