Dental
Monadnock Pediatric Dentistry, LLC
Monadnock Pediatric Dentistry, LLC was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoMONADNOCK PEDIATRIC DENTISTRY, LLC
JAFFREY, NH 03452
JAFFREY, NH 03452
33aNPI1346337755assigned 10/06/2006
33bProvider typePediatric Dentist
28Total paid$1.33M
24GClaims36,824
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#6 of 36
Median peer was paid$260K
This provider vs. median5.1×
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 | 5,402 | $205K | |
| 2019 | 5,225 | $199K | |
| 2020 | 3,942 | $143K | |
| 2021 | 4,753 | $168K | |
| 2022 | 5,843 | $192K | |
| 2023 | 6,072 | $219K | |
| 2024incomplete | 5,587 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 8,656 | 8,418 | $266K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 7,034 | 6,825 | $260K |
| D1206 | Topical application of fluoride varnish | 12% | 8,732 | 8,467 | $161K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,414 | 919 | $149K |
| D1110 | Prophylaxis - adult | 9.8% | 2,480 | 2,419 | $130K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 1,354 | 919 | $127K |
| D0272 | Bitewings - two radiographic images | 5.9% | 2,988 | 2,921 | $79K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 1,951 | 1,746 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 489 | 462 | $28K |
| D0274 | Bitewings - four radiographic images | 1.9% | 798 | 784 | $25K |
| D0330 | Panoramic radiographic image | 1.0% | 344 | 338 | $14K |
| D1351 | Sealant - per tooth | <1% | 270 | 94 | $8K |
4 more codes
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 officialJUN, NANCY (OWNER)