Dental
Katahdin Pediatric's PA
Katahdin Pediatric's PA was paid $748K by Medicaid between Apr 2019 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoKATAHDIN PEDIATRIC'S PA
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1679038137assigned 02/08/2019
33bProvider typePediatric Dentist
28Total paid$748K
24GClaims22,088
24DCodes billed19
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maine
Rank by total paid#9 of 17
Median peer was paid$748K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 2,771 | $60K | |
| 2020 | 2,887 | $75K | |
| 2021 | 3,327 | $80K | |
| 2022 | 3,789 | $118K | |
| 2023 | 3,393 | $143K | |
| 2024incomplete | 5,921 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,297 | 3,235 | $103K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 1,116 | 613 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,644 | 3,572 | $95K |
| D1206 | Topical application of fluoride varnish | 9.2% | 4,429 | 4,345 | $69K |
| D1110 | Prophylaxis - adult | 8.2% | 1,278 | 1,252 | $61K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.0% | 2,196 | 1,979 | $60K |
| D1351 | Sealant - per tooth | 6.5% | 1,878 | 390 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 391 | 281 | $42K |
| D0330 | Panoramic radiographic image | 5.3% | 707 | 692 | $40K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.9% | 226 | 107 | $29K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 751 | 723 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 429 | 421 | $24K |
7 more codes
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 officialTO'OLO, GASTON (DENTIST)
Parent organizationKATAHDIN PEDIATRIC'S PA
| Provider | Location | Paid |
|---|---|---|
| Katahdin Pediatric Dentistry | Bangor, ME | $179K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.