Clinic
Ac Dental Care, INC. Dba Red Clover Family Dentistry
Ac Dental Care, INC. Dba Red Clover Family Dentistry was paid $25K by Medicaid between Jan 2018 and Aug 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoAC DENTAL CARE, INC. DBA RED CLOVER FAMILY DENTISTRY
BRISTOL, VT 05443
BRISTOL, VT 05443
33aNPI1194149641assigned 02/04/2014
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims885
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Dental Clinic/Center providers in Vermont
Rank by total paid#18 of 24
Median peer was paid$80K
This provider vs. median0.3×
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 | 523 | $15K | |
| 2019 | 362 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 224 | 220 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 405 | 401 | $10K |
| D1206 | Topical application of fluoride varnish | 12% | 168 | 166 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 43 | 43 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 14 | 13 | $536.00 |
| D1354 | 1.5% | 31 | 12 | $369.00 |
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 officialHILLS, LESLIE (TREASURER)