Clinic
DR Dental of Manchester PC
DR Dental of Manchester PC was paid $30K by Medicaid between Nov 2018 and Mar 2020, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoDR DENTAL OF MANCHESTER PC
MANCHESTER, NH 03101
MANCHESTER, NH 03101
33aNPI1356854426assigned 11/13/2017
33bProvider typeDental Clinic/Center
28Total paid$30K
24GClaims1,300
24DCodes billed9
24AFirst – last monthNov 2018 – Mar 2020
Compared with peers
Next to other Dental Clinic/Center providers in New Hampshire
Rank by total paid#10 of 20
Median peer was paid$27K
This provider vs. median1.1×
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 | 49 | $2K | |
| 2019 | 1,163 | $27K | |
| 2020 | 88 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 211 | 154 | $8K |
| D0140 | Limited oral evaluation - problem focused | 27% | 229 | 183 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 206 | 151 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 275 | 208 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 8.2% | 36 | 15 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 279 | 232 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 16 | 13 | $396.50 |
| D1110 | Prophylaxis - adult | 1.2% | 13 | 12 | $371.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 35 | 29 | $140.00 |
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 officialCHAMPAGNE, SHEILA (ACCOUNTS PAYABLE)
| Provider | Location | Paid |
|---|---|---|
| DR Dental of Wolcott PC | Waterbury, CT | $1.06M |
| DR Dental of Saugus PC | Saugus, MA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.