Dental
Community Action Program Belknap-Merrimack Counties, INC.
Community Action Program Belknap-Merrimack Counties, INC. was paid $1K by Medicaid between Jan 2018 and Apr 2019, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoCOMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC.
LACONIA, NH 03246
LACONIA, NH 03246
33aNPI1821266578assigned 02/15/2008
33bProvider typeDental Hygienist
28Total paid$1K
24GClaims113
24DCodes billed2
24AFirst – last monthJan 2018 – Apr 2019
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 | 83 | $954.00 | |
| 2019 | 30 | $360.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 99 | 84 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | 12 | $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 officialLITTLEFIELD, RALPH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Action Program Belknap-Merrimack Counties, INC. | Concord, NH | $1.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.