Clinic
Sullivan County Oral Health Collaborative
Sullivan County Oral Health Collaborative was paid $893K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 19% of everything it billed.
33Billing provider infoSULLIVAN COUNTY ORAL HEALTH COLLABORATIVE
CLAREMONT, NH 03743
CLAREMONT, NH 03743
33aNPI1316172281assigned 05/21/2009
33bProvider typeDental Clinic/Center
28Total paid$893K
24GClaims25,542
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Hampshire
Rank by total paid#1 of 20
Median peer was paid$27K
This provider vs. median33×
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 | 4,656 | $190K | |
| 2019 | 3,774 | $147K | |
| 2020 | 2,864 | $94K | |
| 2021 | 3,601 | $115K | |
| 2022 | 3,295 | $112K | |
| 2023 | 4,225 | $138K | |
| 2024incomplete | 3,127 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19% | 1,436 | 353 | $166K |
| D0140 | Limited oral evaluation - problem focused | 18% | 3,655 | 3,412 | $160K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 2,492 | 2,411 | $73K |
| D1110 | Prophylaxis - adult | 7.1% | 1,256 | 1,219 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 565 | 332 | $60K |
| D1206 | Topical application of fluoride varnish | 6.6% | 3,666 | 3,433 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 1,654 | 1,572 | $54K |
| D1351 | Sealant - per tooth | 5.9% | 3,118 | 608 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 380 | 141 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 640 | 609 | $30K |
| D0330 | Panoramic radiographic image | 3.2% | 940 | 898 | $28K |
| D0274 | Bitewings - four radiographic images | 2.4% | 699 | 680 | $22K |
13 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,030 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 1,037 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 143 | $13K |
| D7962 | 1.4% | 257 | $13K | |
| D4999 | <1% | 54 | $8K | |
| D7961 | <1% | 245 | $7K | |
| D9310 | <1% | 317 | $6K | |
| D7960 | <1% | 168 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 21 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 50 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | $92.88 |
| D9986 | 0% | 147 | $0.00 | |
| D1354 | 0% | 554 | $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 officialBRYANT, SUSAN (CHAIRMAN OF THE BOARD)