Clinic
West River Family Dental Brattleboro
West River Family Dental Brattleboro was paid $453K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoWEST RIVER FAMILY DENTAL BRATTLEBORO
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
33aNPI1629324942assigned 07/24/2012
33bProvider typeDental Clinic/Center
28Total paid$453K
24GClaims13,362
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Vermont
Rank by total paid#10 of 24
Median peer was paid$80K
This provider vs. median5.7×
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 | 967 | $23K | |
| 2019 | 2,451 | $60K | |
| 2020 | 1,360 | $35K | |
| 2021 | 1,640 | $41K | |
| 2022 | 2,287 | $79K | |
| 2023 | 2,695 | $126K | |
| 2024incomplete | 1,962 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 3,972 | 3,711 | $101K |
| D1110 | Prophylaxis - adult | 22% | 2,079 | 1,914 | $100K |
| D1206 | Topical application of fluoride varnish | 14% | 3,165 | 2,980 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,835 | 1,680 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 401 | 230 | $52K |
| D0274 | Bitewings - four radiographic images | 4.4% | 587 | 545 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 157 | 108 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 263 | 214 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 107 | 90 | $7K |
| D4346 | 1.4% | 89 | 88 | $6K | |
| D1351 | Sealant - per tooth | 1.1% | 323 | 41 | $5K |
| D0330 | Panoramic radiographic image | <1% | 37 | 37 | $3K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 60 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 149 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 72 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 34 | $787.50 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 17 | $429.00 |
| D1330 | <1% | 15 | $105.00 |
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 officialREDISKE, JARED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| West River Family Dental | Townshend, VT | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.