Academy Dental PA

Academy Dental PA was paid $2K by Medicaid between Feb 2018 and Aug 2022, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 82% of everything it billed.

33Billing provider infoACADEMY DENTAL PA
PRESQUE ISLE, ME 04769

33aNPI1316955396assigned 08/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims151

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Maine

Rank by total paid#31 of 44

Median peer was paid$10K

This provider vs. median0.2×

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	59	$912.00
2019	59	$624.00
2020	15	$144.00
2022	18	$319.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	82%	139	127	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	12	12	$360.00

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 officialBOUCHARD, SANDI (OFFICE/BUSINESS MANAGER)