Dental
Montshire Sanford PC
Montshire Sanford PC was paid $1.37M by Medicaid between Mar 2023 and Dec 2024, across 19 billing codes. Its largest line is D1354, — 25% of everything it billed.
33Billing provider infoMONTSHIRE SANFORD PC
SANFORD, ME 04073
SANFORD, ME 04073
33aNPI1235839077assigned 03/09/2023
33bProvider typePediatric Dentist
28Total paid$1.37M
24GClaims45,324
24DCodes billed19
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maine
Rank by total paid#6 of 17
Median peer was paid$748K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 14,993 | $409K | |
| 2024incomplete | 30,331 | $957K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 25% | 14,179 | 2,443 | $344K | |
| D1351 | Sealant - per tooth | 23% | 10,898 | 1,593 | $314K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 3,098 | 2,960 | $135K |
| D2940 | 8.7% | 2,240 | 900 | $119K | |
| D1206 | Topical application of fluoride varnish | 5.9% | 3,518 | 3,354 | $81K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 2,185 | 2,078 | $64K |
| D1355 | 3.9% | 2,866 | 663 | $54K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 835 | 790 | $49K |
| D1310 | 3.3% | 1,803 | 1,773 | $45K | |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,338 | 1,270 | $41K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.6% | 302 | 165 | $36K |
| D0330 | Panoramic radiographic image | 2.2% | 393 | 372 | $30K |
7 more codes
| D1110 | Prophylaxis - adult | 2.0% | 487 | $27K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 296 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 175 | $6K |
| D1330 | <1% | 288 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 47 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $348.00 |
| D0603 | 0% | 363 | $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 officialEATON, AMANDA (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Montshire Amherst PC | Amherst, NH | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.