Upper Valley Pediatric Dentistry, PC

Upper Valley Pediatric Dentistry, PC was paid $1.15M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

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	6,031	$217K
2019	5,370	$205K
2020	4,471	$145K
2021	5,105	$154K
2022	3,035	$89K
2023	4,823	$186K
2024incomplete	3,296	$156K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	6,364	5,997	$229K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	6,193	5,850	$170K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	1,335	780	$157K
D1206	Topical application of fluoride varnish	12%	7,019	6,607	$133K
D1351	Sealant - per tooth	8.9%	3,591	855	$103K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	7.3%	1,695	1,484	$84K
D0274	Bitewings - four radiographic images	6.1%	2,126	2,001	$70K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.5%	608	343	$52K
D0150	Comprehensive oral evaluation - new or established patient	2.8%	773	688	$32K
D1110	Prophylaxis - adult	2.6%	580	547	$30K
D2930	Prefabricated stainless steel crown - primary tooth	2.4%	156	52	$27K
D7140	Extraction, erupted tooth or exposed root	1.7%	217	112	$20K

7 more codes

D0272	Bitewings - two radiographic images	1.2%	608	$14K
D0140	Limited oral evaluation - problem focused	1.1%	313	$13K
D0330	Panoramic radiographic image	<1%	144	$10K
D0240		<1%	255	$4K
D1354		<1%	68	$1K
D9420		<1%	13	$1K
D0220	Intraoral - periapical first radiographic image	<1%	73	$1K

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 officialSAUNDERS, EILEEN (PEDIATRIC DENTIST)