Dental
Reservoir Dental LLC
Reservoir Dental LLC was paid $553K by Medicaid between Sep 2023 and Dec 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 53% of everything it billed.
33Billing provider infoRESERVOIR DENTAL LLC
CRANSTON, RI 02910
CRANSTON, RI 02910
33aNPI1609553759assigned 06/30/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$553K
24GClaims6,169
24DCodes billed8
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#24 of 86
Median peer was paid$77K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2023 | 1,173 | $102K | |
| 2024incomplete | 4,996 | $451K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 53% | 2,031 | 1,082 | $294K |
| D0330 | Panoramic radiographic image | 17% | 1,518 | 1,444 | $96K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 858 | 262 | $63K |
| D0140 | Limited oral evaluation - problem focused | 11% | 1,487 | 1,408 | $59K |
| D7230 | 4.6% | 104 | 85 | $26K | |
| D7220 | 1.1% | 33 | 26 | $6K | |
| D9110 | <1% | 123 | 122 | $5K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 15 | 12 | $4K |
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 officialBOTEZATU, VLAD (DENTIST)