Dental
Bangor Family Dentistry
Bangor Family Dentistry was paid $2K by Medicaid between Jun 2021 and Nov 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 66% of everything it billed.
33Billing provider infoBANGOR FAMILY DENTISTRY
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1457360562assigned 08/07/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims118
24DCodes billed3
24AFirst – last monthJun 2021 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Maine
Rank by total paid#28 of 44
Median peer was paid$10K
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 | |
|---|---|---|---|
| 2021 | 39 | $710.00 | |
| 2022 | 50 | $974.60 | |
| 2023 | 29 | $670.24 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 66% | 67 | 65 | $2K |
| D1110 | Prophylaxis - adult | 24% | 27 | 27 | $560.00 |
| D1330 | 9.9% | 24 | 24 | $234.00 |
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 officialCARREIRA, MARK (OWNER)