Dental
Manchester Walk in Dental Clinic PC
Manchester Walk in Dental Clinic PC was paid $84K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 44% of everything it billed.
33Billing provider infoMANCHESTER WALK IN DENTAL CLINIC PC
MANCHESTER, NH 03103
MANCHESTER, NH 03103
33aNPI1598058968assigned 05/18/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$84K
24GClaims1,970
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Hampshire
Rank by total paid#19 of 89
Median peer was paid$11K
This provider vs. median7.9×
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 | 617 | $22K | |
| 2019 | 338 | $14K | |
| 2020 | 397 | $16K | |
| 2021 | 137 | $4K | |
| 2022 | 54 | $2K | |
| 2023 | 116 | $7K | |
| 2024incomplete | 311 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 44% | 842 | 804 | $37K |
| D7140 | Extraction, erupted tooth or exposed root | 22% | 193 | 124 | $18K |
| D1110 | Prophylaxis - adult | 16% | 201 | 193 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 32 | 24 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 115 | 110 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 505 | 476 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 39 | 39 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $418.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | 17 | $306.00 |
| D9986 | 0% | 13 | 12 | $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 officialMAHABA, DIAA (PRESIDENT)