Dental
Montshire Pediatric Dentistry, PC
Montshire Pediatric Dentistry, PC was paid $7.07M by Medicaid between Aug 2018 and Dec 2024, across 33 billing codes. Its largest line is D1354, — 22% of everything it billed.
33Billing provider infoMONTSHIRE PEDIATRIC DENTISTRY, PC
KEENE, NH 03431
KEENE, NH 03431
33aNPI1417447673assigned 05/14/2018
33bProvider typePediatric Dentist
28Total paid$7.07M
24GClaims242,513
24DCodes billed33
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#2 of 36
Median peer was paid$260K
This provider vs. median27×
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 | 1,621 | $37K | |
| 2019 | 13,206 | $382K | |
| 2020 | 21,328 | $562K | |
| 2021 | 39,697 | $983K | |
| 2022 | 54,776 | $1.48M | |
| 2023 | 53,897 | $1.58M | |
| 2024incomplete | 57,988 | $2.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 22% | 62,082 | 11,734 | $1.54M | |
| D1351 | Sealant - per tooth | 13% | 38,847 | 5,944 | $905K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 21,769 | 20,514 | $827K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 3,843 | 2,014 | $732K |
| D2940 | 9.8% | 13,561 | 4,894 | $690K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 17,014 | 16,182 | $520K |
| D1206 | Topical application of fluoride varnish | 6.8% | 23,967 | 22,620 | $478K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 5,796 | 5,306 | $314K |
| D0272 | Bitewings - two radiographic images | 3.3% | 8,898 | 8,336 | $233K |
| D1110 | Prophylaxis - adult | 2.5% | 3,357 | 3,107 | $178K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 1,538 | 791 | $144K |
| D0274 | Bitewings - four radiographic images | 1.8% | 3,470 | 3,238 | $125K |
21 more codes
| D0330 | Panoramic radiographic image | 1.6% | 2,309 | $110K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,863 | $84K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,361 | $56K |
| D9920 | <1% | 1,664 | $36K | |
| D1330 | <1% | 11,529 | $33K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 228 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 183 | $19K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 534 | $6K |
| D0240 | <1% | 453 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 70 | $3K |
| D9630 | <1% | 278 | $3K | |
| D3120 | <1% | 148 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 110 | $591.64 |
| D0603 | 0% | 12,350 | $0.00 | |
| D9995 | 0% | 26 | $0.00 | |
| D0602 | 0% | 3,609 | $0.00 | |
| D135 | 0% | 1,038 | $0.00 | |
| U1351 | 0% | 536 | $0.00 | |
| D0601 | 0% | 19 | $0.00 | |
| D9986 | 0% | 42 | $0.00 | |
| D9996 | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialNORRIS, JONATHAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Montshire Henniker PC | Henniker, NH | $334K |
| Montshire Dublin PC | Dublin, NH | $110K |
| Montshire Rutland PC | Rutland, VT | $83K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.