Kingston Family Dental

Kingston Family Dental was paid $22K by Medicaid between Apr 2018 and Oct 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoKINGSTON FAMILY DENTAL
KINGSTON, NH 03848

33aNPI1164711925assigned 04/01/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$22K

24GClaims1,513

24DCodes billed8

24AFirst – last monthApr 2018 – Oct 2023

Compared with peers

Next to other General Practice Dentistry providers in New Hampshire

Rank by total paid#35 of 89

Median peer was paid$11K

This provider vs. median2.1×

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
2018	123	$3K
2019	50	$1K
2020	190	$2K
2021	588	$8K
2022	475	$6K
2023	87	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	242	237	$7K
D1206	Topical application of fluoride varnish	30%	368	359	$7K
D1120	Dental cleaning, childProphylaxis - child	18%	122	118	$4K
D1110	Prophylaxis - adult	6.8%	31	30	$2K
D1208	Topical application of fluoride, excluding varnish	5.0%	67	66	$1K
D0274	Bitewings - four radiographic images	4.2%	30	29	$936.98
D0150	Comprehensive oral evaluation - new or established patient	3.3%	12	12	$727.08
D1999		0%	641	581	$0.00

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.

From NPPES

Who's on the registration

Authorized officialMATSHKALYAN, VERA (DENTIST)