Dental
Ammonoosuc Community Health Services INC
Ammonoosuc Community Health Services INC was paid $42K by Medicaid between Jan 2018 and Mar 2021, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 44% of everything it billed.
33Billing provider infoAMMONOOSUC COMMUNITY HEALTH SERVICES INC
LITTLETON, NH 03561
LITTLETON, NH 03561
33aNPI1598716755assigned 05/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$42K
24GClaims1,277
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in New Hampshire
Rank by total paid#27 of 89
Median peer was paid$11K
This provider vs. median3.9×
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 | 441 | $17K | |
| 2019 | 466 | $18K | |
| 2020 | 358 | $6K | |
| 2021 | 12 | $642.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 44% | 470 | 408 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 28% | 128 | 77 | $12K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.0% | 23 | 12 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 457 | 381 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.1% | 21 | 14 | $3K |
| D1110 | Prophylaxis - adult | 2.9% | 25 | 24 | $1K |
| D1206 | Topical application of fluoride varnish | 1.6% | 48 | 39 | $681.00 |
| D0270 | <1% | 37 | 36 | $280.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15 | 12 | $70.00 |
| D9996 | 0% | 53 | 48 | $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 officialSHANSHALA, EDWARD (CHIEF EXECUTIVE OFFICER)