Dental
Congalton, David
Congalton, David was paid $176K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoCONGALTON, DAVID
VERGENNES, VT 05491
VERGENNES, VT 05491
33aNPI1407847916assigned 11/03/2005
33bProvider typeDentist
28Total paid$176K
24GClaims5,620
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Vermont
Rank by total paid#14 of 47
Median peer was paid$48K
This provider vs. median3.7×
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 | 994 | $28K | |
| 2019 | 918 | $25K | |
| 2020 | 604 | $17K | |
| 2021 | 939 | $26K | |
| 2022 | 780 | $24K | |
| 2023 | 824 | $32K | |
| 2024incomplete | 561 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 1,544 | 1,483 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 2,192 | 2,105 | $57K |
| D0274 | Bitewings - four radiographic images | 10% | 587 | 564 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,008 | 986 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 272 | 251 | $8K |
| 0120 | 0% | 17 | 16 | $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.