Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Saco Family Dentistry Holding LLC

Saco Family Dentistry Holding LLC was paid $312K by Medicaid between Jul 2024 and Dec 2024, across 24 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 22% of everything it billed.

33Billing provider infoSACO FAMILY DENTISTRY HOLDING LLC
SACO, ME 04072
33aNPI1366209801assigned 03/01/2024
28Total paid$312K
24GClaims3,036
24DCodes billed24
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Maine

Rank by total paid#7 of 44
Median peer was paid$10K
This provider vs. median31×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LEE, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete3,036$312K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2740 Crown - porcelain/ceramic 22% 123 94 $68K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16% 398 209 $49K
D4341 12% 238 102 $38K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9.4% 277 141 $29K
D1110 Prophylaxis - adult 5.7% 261 251 $18K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 4.6% 15 12 $14K
D2950 4.5% 120 90 $14K
D1206 Topical application of fluoride varnish 3.7% 453 440 $12K
D0150 Comprehensive oral evaluation - new or established patient 3.5% 174 167 $11K
D0140 Limited oral evaluation - problem focused 2.8% 156 140 $9K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.3% 47 35 $7K
D0210 Intraoral - complete series of radiographic images 2.2% 81 79 $7K
12 more codes
D4910 2.2% 69 $7K
D1120 Dental cleaning, child 1.7% 101 $5K
D2940 1.6% 97 $5K
D3120 <1% 76 $3K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 20 $3K
D0220 Intraoral - periapical first radiographic image <1% 140 $3K
D0330 Panoramic radiographic image <1% 39 $2K
D2330 <1% 25 $2K
D0460 <1% 69 $2K
D0274 Bitewings - four radiographic images <1% 31 $1K
D4346 <1% 12 $815.28
D0120 Dental checkup, returning patient <1% 14 $451.10

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 officialLEE, DAVID (COO)
Same official

Other billing entities under LEE, DAVID

Full network →
ProviderLocationPaid
Contra Costa CountyMartinez, CA$536.98M
Contra Costa CountyPittsburg, CA$202.20M
Contra Costa CountySan Pablo, CA$170.81M
Contra Costa CountyMartinez, CA$100.64M
Contra Costa CountyMartinez, CA$90.59M
Contra Costa CountyConcord, CA$83.05M
Contra Costa CountyAntioch, CA$65.79M
Contra Costa CountyMartinez, CA$64.10M
Contra Costa CountyBrentwood, CA$45.11M
Contra Costa CountyConcord, CA$33.14M
Lone Star Ambulance 1, LLCCorpus Christi, TX$31.57M
Contra Costa CountyMartinez, CA$30.20M
Contra Costa CountySan Pablo, CA$28.69M
Contra Costa CountyPittsburg, CA$24.26M
Contra Costa CountyConcord, CA$19.55M
Contra Costa CountyAntioch, CA$17.16M
Contra Costa CountyMartinez, CA$15.98M
Contra Costa CountyNorth Richmond, CA$14.20M
Contra Costa CountySan Pablo, CA$13.26M
Contra Costa CountyBay Point, CA$10.44M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.