Dental
Alice Peck Day Memorial Hospital
Alice Peck Day Memorial Hospital was paid $20K by Medicaid between May 2018 and Dec 2018, across 2 billing codes. Its largest line is D1351, Sealant - per tooth — 81% of everything it billed.
33Billing provider infoALICE PECK DAY MEMORIAL HOSPITAL
LEBANON, NH 03766
LEBANON, NH 03766
33aNPI1417407388assigned 10/04/2016
33bProvider typePublic Health Dentist
28Total paid$20K
24GClaims803
24DCodes billed2
24AFirst – last monthMay 2018 – Dec 2018
Compared with peers
Next to other Public Health Dentist providers in New Hampshire
Rank by total paid#4 of 6
Median peer was paid$20K
This provider vs. median1.0×
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 | 803 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 81% | 567 | 84 | $16K |
| D1206 | Topical application of fluoride varnish | 19% | 236 | 229 | $4K |
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 officialMOONEY, SUSAN (CEO/PRESIDENT)
Parent organizationALICE PECK DAY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Alice Peck Day Memorial Hospital | Lebanon, NH | $2.09M |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $179K |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.