Dental
Rhode Island Hospital
Rhode Island Hospital was paid $345K by Medicaid between Jan 2018 and Feb 2020, across 13 billing codes. Its largest line is D9920, — 38% of everything it billed.
33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1770601668assigned 03/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$345K
24GClaims12,340
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#30 of 86
Median peer was paid$77K
This provider vs. median4.5×
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 MARKELL, PETER controls 20+ related entities in our dataset. Read more
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 | 1,746 | $58K | |
| 2019 | 9,563 | $258K | |
| 2020 | 1,031 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 38% | 2,923 | 2,788 | $131K | |
| D1110 | Prophylaxis - adult | 30% | 2,472 | 2,427 | $102K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 2,240 | 2,210 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 1,378 | 1,358 | $25K |
| D0274 | Bitewings - four radiographic images | 2.4% | 367 | 365 | $8K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 371 | 358 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 493 | 472 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 127 | 59 | $5K |
| X4345 | 1.1% | 51 | 49 | $4K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 15 | 13 | $122.00 |
| D1206 | Topical application of fluoride varnish | <1% | 16 | 14 | $120.00 |
| D0603 | 0% | 1,788 | 1,744 | $0.00 |
1 more codes
| D0602 | 0% | 99 | $0.00 |
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 officialMARKELL, PETER (EVP & CFO)
| Provider | Location | Paid |
|---|---|---|
| Rhode Island Hospital | Providence, RI | $380.77M |
| The Miriam Hospital | Providence, RI | $138.58M |
| Gateway Healthcare INC | Pawtucket, RI | $122.93M |
| Emma Pendleton Bradley Hospital | Riverside, RI | $37.64M |
| Newport Hospital | Newport, RI | $15.82M |
| Rhode Island Hospital | Providence, RI | $13.22M |
| Lifespan Physician Group, INC. | Warwick, RI | $6.48M |
| Lifespan Physician Group, INC. | Providence, RI | $5.64M |
| Rhode Island Hospital | Providence, RI | $5.32M |
| Emma Pendleton Bradley Hospital | East Providence, RI | $5.03M |
| Lifespan Physician Group INC | Providence, RI | $4.41M |
| Rhode Island Hospital | Providence, RI | $3.97M |
| Newport Hospital | Newport, RI | $3.05M |
| Rhode Island Hospital | East Providence, RI | $2.58M |
| Vna Technicare, INC. | Providence, RI | $2.52M |
| Rhode Island Hospital | Providence, RI | $2.33M |
| Coastal Medical Physicians, INC. | Providence, RI | $1.33M |
| Gateway Healthcare, INC. | Pawtucket, RI | $1.31M |
| Coastal Medical Physicians, INC. | Providence, RI | $1.20M |
| Gateway Healthcare, INC | Johnston, RI | $1.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.