Dental
Penobscot Childrens Dentistry Associates
Penobscot Childrens Dentistry Associates was paid $413K by Medicaid between Jan 2018 and Feb 2022, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.
33Billing provider infoPENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1285854836assigned 04/26/2007
33bProvider typePediatric Dentist
28Total paid$413K
24GClaims16,480
24DCodes billed16
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatric Dentist providers in Maine
Rank by total paid#13 of 17
Median peer was paid$748K
This provider vs. median0.6×
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 | 4,349 | $119K | |
| 2019 | 4,148 | $114K | |
| 2020 | 3,752 | $86K | |
| 2021 | 3,696 | $83K | |
| 2022 | 535 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28% | 1,563 | 988 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 3,057 | 2,939 | $81K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,876 | 2,767 | $76K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.5% | 1,897 | 1,776 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 2,984 | 2,864 | $33K |
| D0272 | Bitewings - two radiographic images | 5.5% | 1,723 | 1,665 | $23K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 68 | 50 | $8K |
| D1351 | Sealant - per tooth | 1.8% | 521 | 142 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 944 | 918 | $7K |
| D1110 | Prophylaxis - adult | 1.6% | 204 | 193 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 123 | 119 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 87 | 72 | $6K |
4 more codes
| D1206 | Topical application of fluoride varnish | <1% | 309 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 55 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 53 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | $104.00 |
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 officialSHENKIN, JONATHAN (PEDIATRIC DENTIST)