Sebasticook Dental Center

Sebasticook Dental Center was paid $286K by Medicaid between Sep 2019 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoSEBASTICOOK DENTAL CENTER
NEWPORT, ME 04953

33aNPI1215586227assigned 09/11/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$286K

24GClaims9,997

24DCodes billed14

24AFirst – last monthSep 2019 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Maine

Rank by total paid#8 of 44

Median peer was paid$10K

This provider vs. median29×

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
2019	913	$21K
2020	2,168	$49K
2021	2,627	$63K
2022	1,917	$58K
2023	1,363	$54K
2024incomplete	1,009	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	2,482	2,424	$75K
D1110	Prophylaxis - adult	21%	1,250	1,217	$61K
D1120	Dental cleaning, childProphylaxis - child	17%	1,330	1,302	$50K
D1206	Topical application of fluoride varnish	15%	2,664	2,607	$44K
D0274	Bitewings - four radiographic images	5.6%	599	582	$16K
D1351	Sealant - per tooth	3.4%	652	114	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.1%	104	68	$9K
D0330	Panoramic radiographic image	2.1%	141	139	$6K
D0140	Limited oral evaluation - problem focused	1.1%	173	164	$3K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	61	59	$3K
D1354		<1%	103	25	$3K
D0220	Intraoral - periapical first radiographic image	<1%	294	195	$2K

2 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	31	$2K
D0272	Bitewings - two radiographic images	<1%	113	$2K

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 officialNADEAU, DUSTIN (DENTIST / OWNER)