Hanover Street Family Dental
Hanover Street Family Dental was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.
MANCHESTER, NH 03104
Next to other General Practice Dentistry providers in New Hampshire
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,977 | $84K | |
| 2019 | 2,649 | $68K | |
| 2020 | 1,870 | $46K | |
| 2021 | 5,161 | $127K | |
| 2022 | 4,168 | $109K | |
| 2023 | 7,741 | $411K | |
| 2024incomplete | 9,975 | $647K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 2,989 | 1,053 | $299K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 2,688 | 1,114 | $286K |
| D1110 | Prophylaxis - adult | 9.5% | 2,785 | 2,554 | $142K |
| D0140 | Limited oral evaluation - problem focused | 8.3% | 2,962 | 2,680 | $124K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 2,195 | 1,990 | $119K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 3,972 | 3,769 | $118K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 2,896 | 2,740 | $98K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 4,487 | 4,267 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 1,217 | 1,111 | $74K |
| D0274 | Bitewings - four radiographic images | 1.9% | 1,007 | 907 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 3,601 | 3,283 | $27K |
| D1330 | 1.5% | 736 | 701 | $22K |
10 more codes
| D4341 | 1.3% | 920 | $20K | |
| D2740 | Crown - porcelain/ceramic | <1% | 27 | $13K |
| D2332 | <1% | 68 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,610 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 257 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 35 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 51 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 13 | $2K |
| D2950 | <1% | 13 | $1K | |
| D0270 | <1% | 12 | $84.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Springfield Family Dental | Springfield, MA | $3.97M |
| Julia O Faigel DMD PC | East Boston, MA | $1.79M |
| JP Family Dental PC | Jamaica Plain, MA | $1.75M |
| River's Edge Family Dental | Haverhill, MA | $1.63M |
| Enfield Plaza Family Dental | Enfield, CT | $1.52M |
| DR. Dental of Springfield | Springfield, MA | $1.27M |
| DR Dental of Quincy PC | Quincy, MA | $1.24M |
| Broadway Family Dental PC | Chelsea, MA | $1.15M |
| Central Square Family Dental PC | Cambridge, MA | $1.06M |
| Bristol Plaza Family Dental | Bristol, CT | $967K |
| DR Dental of Lowell | Lowell, MA | $928K |
| Maverick Family Dental PC | East Boston, MA | $899K |
| DR. Dental of Vernon, PC | Vernon, CT | $885K |
| DR Dental of New Bedford PC | New Bedford, MA | $508K |
| DR Dental of Braintree PC | Braintree, MA | $87K |
| DR. Dental of Nashua PC | Nashua, NH | $13K |
| DR. Dental of Edison, PC | Edison, NJ | $327.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.