Clinic
Kennebec Valley Dental Coalition INC
Kennebec Valley Dental Coalition INC was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoKENNEBEC VALLEY DENTAL COALITION INC
OAKLAND, ME 04963
OAKLAND, ME 04963
33aNPI1497899165assigned 02/16/2007
33bProvider typeDental Clinic/Center
28Total paid$2.92M
24GClaims98,166
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maine
Rank by total paid#2 of 33
Median peer was paid$59K
This provider vs. median49×
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 | 9,226 | $214K | |
| 2019 | 13,078 | $316K | |
| 2020 | 11,446 | $271K | |
| 2021 | 16,599 | $405K | |
| 2022 | 14,644 | $479K | |
| 2023 | 16,817 | $626K | |
| 2024incomplete | 16,356 | $605K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,836 | 13,679 | $415K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 10,716 | 10,580 | $390K |
| D1110 | Prophylaxis - adult | 10% | 6,003 | 5,926 | $302K |
| D1206 | Topical application of fluoride varnish | 9.7% | 16,895 | 16,675 | $282K |
| D1351 | Sealant - per tooth | 8.5% | 13,525 | 2,504 | $247K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 1,662 | 1,325 | $173K |
| D0274 | Bitewings - four radiographic images | 5.3% | 5,392 | 5,305 | $156K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 4,225 | 4,023 | $138K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 1,662 | 1,251 | $131K |
| D0330 | Panoramic radiographic image | 4.5% | 2,466 | 2,416 | $130K |
| D1354 | 4.3% | 4,813 | 1,232 | $125K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,807 | 1,760 | $97K |
21 more codes
| D1310 | 2.7% | 3,362 | $78K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 898 | $77K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 4,025 | $52K |
| D0272 | Bitewings - two radiographic images | 1.3% | 2,017 | $37K |
| D2940 | <1% | 610 | $25K | |
| D0190 | <1% | 1,254 | $22K | |
| D3120 | <1% | 529 | $11K | |
| D0460 | <1% | 478 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 641 | $6K |
| D1320 | <1% | 205 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 70 | $2K |
| D9920 | <1% | 50 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D3221 | <1% | 17 | $1K | |
| D4910 | <1% | 13 | $1K | |
| D0191 | <1% | 72 | $945.75 | |
| D9992 | <1% | 30 | $688.80 | |
| D1330 | <1% | 53 | $676.00 | |
| D9996 | 0% | 759 | $0.00 | |
| D1999 | 0% | 53 | $0.00 | |
| D0603 | 0% | 14 | $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 officialPELOTTE, JESSICA (EXECUTIVE DIRECTOR)