Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Prospect Chartercare Sjhsri, LLC

Prospect Chartercare Sjhsri, LLC was paid $178K by Medicaid between Jan 2018 and Nov 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.

33Billing provider infoPROSPECT CHARTERCARE SJHSRI, LLC
PROVIDENCE, RI 02907
33aNPI1639584717assigned 06/26/2014
33bProvider typeDentist
28Total paid$178K
24GClaims6,625
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Dentist providers in Rhode Island

Rank by total paid#38 of 93
Median peer was paid$115K
This provider vs. median1.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,278$62K
20192,115$61K
2020625$15K
2021678$13K
2022594$15K
2023335$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 59% 2,597 2,470 $105K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 21% 2,154 2,028 $37K
D0274 Bitewings - four radiographic images 5.6% 470 452 $10K
D0220 Intraoral - periapical first radiographic image 3.5% 621 557 $6K
D7140 Extraction, erupted tooth or exposed root 3.4% 137 65 $6K
D0140 Limited oral evaluation - problem focused 2.1% 176 168 $4K
D0330 Panoramic radiographic image 1.5% 72 70 $3K
D1206 Topical application of fluoride varnish 1.4% 175 161 $2K
D0210 Intraoral - complete series of radiographic images <1% 26 25 $2K
D1208 Topical application of fluoride, excluding varnish <1% 48 48 $1K
D0150 Comprehensive oral evaluation - new or established patient <1% 50 48 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 15 13 $642.00
1 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 84 $432.00

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 officialELDERS, ROBERT (SECRETARY)
Same official

Other billing entities under ELDERS, ROBERT

Full network →
ProviderLocationPaid
Prospect Waterbury, INC.Waterbury, CT$84.62M
Prospect Manchester Hospital, INC.Manchester, CT$69.20M
Prospect Chartercare RWMC, LLCProvidence, RI$57.10M
Prospect CCMC, LLCChester, PA$40.89M
Prospect CT Medical Foundation, INC.Manchester, CT$34.07M
Prospect Rockville Hospital, INC.Vernon, CT$30.06M
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$10.94M
Prospect DCMH, LLCDrexel Hill, PA$10.37M
Prospect CCMC, LLCChester, PA$5.46M
Alta Los Angeles Hospitals, INC.Los Angeles, CA$5.42M
Prospect CCMC, LLCChester, PA$5.03M
Prospect CCMC, LLCChester, PA$3.71M
Prospect Chartercare Physicians, LLCCranston, RI$2.31M
Prospect Echn Home Health, INC.Vernon, CT$1.75M
Prospect Waterbury Home Health, INC.Watertown, CT$1.30M
Prospect Health Access Network, INC.Chester, PA$1.22M
Alta Newport Hospital, LLCTustin, CA$1.16M
Prospect Health Access Network, INC.Crum Lynne, PA$924K
Prospect Health Access Network, INC.Chester, PA$872K
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$858K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.