Alta Dental of Maine, PC

Alta Dental of Maine, PC was paid $15K by Medicaid between Feb 2018 and May 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.

33Billing provider infoALTA DENTAL OF MAINE, PC
FREEPORT, ME 04032

33aNPI1528239910assigned 03/13/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims745

24DCodes billed6

24AFirst – last monthFeb 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Maine

Rank by total paid#20 of 44

Median peer was paid$10K

This provider vs. median1.5×

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	139	$3K
2019	367	$7K
2020	133	$2K
2021	106	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	45%	268	259	$7K
D1110	Prophylaxis - adult	26%	130	122	$4K
D1206	Topical application of fluoride varnish	19%	277	263	$3K
D1120	Dental cleaning, childProphylaxis - child	4.9%	26	25	$720.00
D0274	Bitewings - four radiographic images	3.6%	31	28	$520.00
D0140	Limited oral evaluation - problem focused	1.6%	13	13	$240.00

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 officialWETHERHOLD, JOSEPH (PRESIDENT)