Dental
County Roots Childrens Dentistry LLC
County Roots Childrens Dentistry LLC was paid $13K by Medicaid between Nov 2024 and Dec 2024, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 43% of everything it billed.
33Billing provider infoCOUNTY ROOTS CHILDRENS DENTISTRY LLC
PRESQUE ISLE, ME 04769
PRESQUE ISLE, ME 04769
33aNPI1689494213assigned 10/17/2024
33bProvider typeDentist
28Total paid$13K
24GClaims249
24DCodes billed5
24AFirst – last monthNov 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Maine
Rank by total paid#18 of 36
Median peer was paid$11K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2024incomplete | 249 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 43% | 84 | 84 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 52 | 52 | $3K |
| D0330 | Panoramic radiographic image | 14% | 20 | 20 | $2K |
| D1206 | Topical application of fluoride varnish | 12% | 60 | 60 | $2K |
| D0272 | Bitewings - two radiographic images | 9.1% | 33 | 33 | $1K |
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 officialJOHNSON, ERIK (PEDIATRIC DENTIST)