H

H was paid $182K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoH
SOUTH ROYALTON, VT 05068

33aNPI1356633895assigned 05/03/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$182K

24GClaims6,285

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Vermont

Rank by total paid#23 of 88

Median peer was paid$57K

This provider vs. median3.2×

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	896	$21K
2019	825	$20K
2020	380	$10K
2021	487	$13K
2022	267	$8K
2023	1,771	$39K
2024incomplete	1,659	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	1,578	1,500	$59K
D1206	Topical application of fluoride varnish	25%	2,072	1,970	$45K
D1110	Prophylaxis - adult	15%	495	443	$28K
D1354		8.9%	939	189	$16K
D0150	Comprehensive oral evaluation - new or established patient	6.9%	140	131	$13K
D0274	Bitewings - four radiographic images	6.4%	390	343	$12K
D0272	Bitewings - two radiographic images	3.9%	279	245	$7K
D0220	Intraoral - periapical first radiographic image	<1%	56	54	$1K
D1351	Sealant - per tooth	<1%	80	12	$1K
D1330		<1%	167	110	$171.00
D1203		0%	89	49	$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 officialHULL, SUSAN (CLINIC COORDINATOR)