Ettah, Precious

Ettah, Precious was paid $2K by Medicaid between May 2020 and Jun 2021, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 46% of everything it billed.

33Billing provider infoETTAH, PRECIOUS
SOMERSWORTH, NH 03878

33aNPI1366923336assigned 08/27/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims193

24DCodes billed5

24AFirst – last monthMay 2020 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in New Hampshire

Rank by total paid#65 of 89

Median peer was paid$11K

This provider vs. median0.2×

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
2020	55	$1K
2021	138	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	46%	51	50	$1K
D0150	Comprehensive oral evaluation - new or established patient	19%	12	12	$458.00
D0274	Bitewings - four radiographic images	16%	26	26	$392.00
D0220	Intraoral - periapical first radiographic image	13%	68	67	$331.20
D0230	Intraoral - periapical each additional radiographic image	6.1%	36	27	$150.00

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.