Clinic
York County Pediatric Dentistry
York County Pediatric Dentistry was paid $815K by Medicaid between Jan 2018 and Feb 2023, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoYORK COUNTY PEDIATRIC DENTISTRY
KENNEBUNK, ME 04043
KENNEBUNK, ME 04043
33aNPI1891023057assigned 11/30/2009
33bProvider typeDental Clinic/Center
28Total paid$815K
24GClaims27,693
24DCodes billed20
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Maine
Rank by total paid#5 of 33
Median peer was paid$59K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2018 | 3,453 | $75K | |
| 2019 | 2,416 | $55K | |
| 2020 | 2,852 | $74K | |
| 2021 | 9,526 | $285K | |
| 2022 | 8,422 | $288K | |
| 2023 | 1,024 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,675 | 4,593 | $135K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 4,080 | 4,004 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 849 | 511 | $74K |
| D1206 | Topical application of fluoride varnish | 8.0% | 4,828 | 4,736 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 1,146 | 1,131 | $63K |
| D1110 | Prophylaxis - adult | 7.4% | 1,495 | 1,472 | $60K |
| D1351 | Sealant - per tooth | 7.2% | 3,330 | 748 | $59K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 488 | 255 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 471 | 330 | $32K |
| D0272 | Bitewings - two radiographic images | 3.8% | 1,723 | 1,697 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.2% | 240 | 70 | $26K |
| D1354 | 2.6% | 863 | 310 | $21K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 915 | $20K |
| D0330 | Panoramic radiographic image | 2.4% | 394 | $19K |
| D0274 | Bitewings - four radiographic images | 1.8% | 646 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 901 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 165 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 400 | $4K |
| D1330 | <1% | 67 | $858.00 | |
| D9310 | 0% | 17 | $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 officialCREISHER, GARY (OWNER)