Dental
Mascoma Community Healthcare INC
Mascoma Community Healthcare INC was paid $74K by Medicaid between Mar 2018 and Oct 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMASCOMA COMMUNITY HEALTHCARE INC
CANAAN, NH 03741
CANAAN, NH 03741
33aNPI1497298087assigned 11/30/2016
33bProvider typeDentist
28Total paid$74K
24GClaims2,337
24DCodes billed12
24AFirst – last monthMar 2018 – Oct 2023
Compared with peers
Next to other Dentist providers in New Hampshire
Rank by total paid#7 of 46
Median peer was paid$6K
This provider vs. median12×
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 | 96 | $3K | |
| 2019 | 199 | $6K | |
| 2020 | 693 | $22K | |
| 2021 | 615 | $19K | |
| 2022 | 544 | $16K | |
| 2023 | 190 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 971 | 771 | $31K |
| D0140 | Limited oral evaluation - problem focused | 23% | 417 | 393 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 9.4% | 69 | 25 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.2% | 153 | 126 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 316 | 293 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 120 | 104 | $3K |
| D1110 | Prophylaxis - adult | 3.1% | 52 | 50 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 69 | 66 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 61 | 51 | $2K |
| D1206 | Topical application of fluoride varnish | 1.4% | 62 | 59 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 21 | 19 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | 25 | $144.69 |
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 officialSAMSON, MICHAEL (FINANCE MANAGER)