Dental
Northwest Dental
Northwest Dental was paid $4.22M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoNORTHWEST DENTAL
PASCOAG, RI 02859
PASCOAG, RI 02859
33aNPI1588835623assigned 03/17/2008
33bProvider typeDentist
28Total paid$4.22M
24GClaims58,766
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#3 of 93
Median peer was paid$115K
This provider vs. median37×
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 | 11,983 | $815K | |
| 2019 | 29,544 | $1.93M | |
| 2020 | 3,110 | $240K | |
| 2021 | 1,359 | $136K | |
| 2022 | 1,782 | $168K | |
| 2023 | 4,869 | $421K | |
| 2024incomplete | 6,119 | $510K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 25,428 | 22,472 | $4.22M |
| D0220 | Intraoral - periapical first radiographic image | 0% | 4,549 | 4,437 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 7,022 | 6,938 | $0.00 |
| D0270 | 0% | 393 | 378 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 2,378 | 2,362 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 313 | 310 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 186 | 145 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 193 | 174 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 32 | 28 | $0.00 |
| D2940 | 0% | 13 | 12 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 353 | 196 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,304 | 1,282 | $0.00 |
15 more codes
| D0120 | Dental checkup, returning patient | 0% | 3,800 | $0.00 |
| D1330 | 0% | 4,357 | $0.00 | |
| D0602 | 0% | 384 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 3,360 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,328 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,642 | $0.00 |
| D0603 | 0% | 812 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 57 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 526 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 226 | $0.00 |
| D0601 | 0% | 41 | $0.00 | |
| D2335 | 0% | 18 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 24 | $0.00 |
| D2160 | 0% | 14 | $0.00 | |
| D2331 | 0% | 13 | $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 officialBANCROFT, PETER (CEO)
Parent organizationNORTHWEST COMMUNITY HEALTH CARE
| Provider | Location | Paid |
|---|---|---|
| Northwest Community Health Care | Pascoag, RI | $27K |
| Northwest Community Health Care | N. Kingstown, RI | $731.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.