Managed care
Maine Dental Group, P.C.
Maine Dental Group, P.C. was paid $465K by Medicaid between Mar 2018 and Jun 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMAINE DENTAL GROUP, P.C.
AUGUSTA, ME 04330
AUGUSTA, ME 04330
33aNPI1154794758assigned 11/04/2015
33bProvider typeHealth Maintenance Organization
28Total paid$465K
24GClaims7,185
24DCodes billed29
24AFirst – last monthMar 2018 – Jun 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LEE, DAVID controls 20+ related entities in our dataset. Read more
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 | 576 | $18K | |
| 2019 | 959 | $38K | |
| 2023 | 765 | $31K | |
| 2024incomplete | 4,885 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 719 | 357 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,240 | 1,185 | $75K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 718 | 660 | $58K |
| D2740 | Crown - porcelain/ceramic | 8.2% | 93 | 54 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 368 | 181 | $36K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 415 | 387 | $22K |
| D1110 | Prophylaxis - adult | 4.7% | 430 | 406 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 176 | 77 | $20K |
| D4341 | 3.9% | 115 | 58 | $18K | |
| D2950 | 3.3% | 133 | 92 | $15K | |
| D1206 | Topical application of fluoride varnish | 2.7% | 629 | 609 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 300 | 290 | $10K |
17 more codes
| D0330 | Panoramic radiographic image | 1.8% | 109 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 415 | $8K |
| D0274 | Bitewings - four radiographic images | 1.7% | 232 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 43 | $7K |
| D0120 | Dental checkup, returning patient | 1.0% | 173 | $5K |
| D1310 | <1% | 186 | $4K | |
| D4342 | <1% | 37 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 167 | $2K |
| D1330 | <1% | 125 | $2K | |
| D1351 | Sealant - per tooth | <1% | 55 | $2K |
| D4346 | <1% | 27 | $2K | |
| D0460 | <1% | 48 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 109 | $1K |
| D0270 | <1% | 58 | $1K | |
| D2940 | <1% | 19 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 28 | $957.15 |
| D3120 | <1% | 18 | $697.17 |
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 officialLEE, DAVID (COO)
| Provider | Location | Paid |
|---|---|---|
| Contra Costa County | Martinez, CA | $536.98M |
| Contra Costa County | Pittsburg, CA | $202.20M |
| Contra Costa County | San Pablo, CA | $170.81M |
| Contra Costa County | Martinez, CA | $100.64M |
| Contra Costa County | Martinez, CA | $90.59M |
| Contra Costa County | Concord, CA | $83.05M |
| Contra Costa County | Antioch, CA | $65.79M |
| Contra Costa County | Martinez, CA | $64.10M |
| Contra Costa County | Brentwood, CA | $45.11M |
| Contra Costa County | Concord, CA | $33.14M |
| Lone Star Ambulance 1, LLC | Corpus Christi, TX | $31.57M |
| Contra Costa County | Martinez, CA | $30.20M |
| Contra Costa County | San Pablo, CA | $28.69M |
| Contra Costa County | Pittsburg, CA | $24.26M |
| Contra Costa County | Concord, CA | $19.55M |
| Contra Costa County | Antioch, CA | $17.16M |
| Contra Costa County | Martinez, CA | $15.98M |
| Contra Costa County | North Richmond, CA | $14.20M |
| Contra Costa County | San Pablo, CA | $13.26M |
| Contra Costa County | Bay Point, CA | $10.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.