Dental
Northeastern Pediatric Dental
Northeastern Pediatric Dental was paid $260K by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoNORTHEASTERN PEDIATRIC DENTAL
NASHUA, NH 03062
NASHUA, NH 03062
33aNPI1326216680assigned 02/20/2008
33bProvider typePediatric Dentist
28Total paid$260K
24GClaims8,173
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#19 of 36
Median peer was paid$260K
This provider vs. median1.0×
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 | 3,796 | $139K | |
| 2019 | 3,800 | $114K | |
| 2020 | 577 | $7K |
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 | 21% | 566 | 414 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,732 | 1,611 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,781 | 1,664 | $45K |
| D1206 | Topical application of fluoride varnish | 12% | 2,083 | 1,939 | $31K |
| D1110 | Prophylaxis - adult | 7.3% | 384 | 380 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 261 | 242 | $14K |
| D0272 | Bitewings - two radiographic images | 3.9% | 419 | 408 | $10K |
| D1351 | Sealant - per tooth | 3.8% | 372 | 133 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 94 | 70 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 261 | 229 | $8K |
| D0274 | Bitewings - four radiographic images | 2.4% | 199 | 199 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | 12 | $2K |
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 officialKALALI, MINA (DMD OWNER)
Parent organizationNORTHEASTERN PEDIATRIC DENTAL