Main Street Family Dentistry, PC

Main Street Family Dentistry, PC was paid $82K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.

33Billing provider infoMAIN STREET FAMILY DENTISTRY, PC
MONTPELIER, VT 05602

33aNPI1487678876assigned 07/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$82K

24GClaims2,556

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Vermont

Rank by total paid#34 of 88

Median peer was paid$57K

This provider vs. median1.4×

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	523	$15K
2019	555	$15K
2020	477	$12K
2021	307	$9K
2022	240	$8K
2023	228	$9K
2024incomplete	226	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	56%	950	894	$46K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	531	484	$13K
D1206	Topical application of fluoride varnish	14%	651	578	$11K
D1120	Dental cleaning, childProphylaxis - child	12%	341	297	$9K
D0274	Bitewings - four radiographic images	2.7%	83	75	$2K

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 officialLANSKY, CASSANDRA (OWNER/PRESIDENT)