Dental
Maple Leaf Family Dentistry
Maple Leaf Family Dentistry was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 15% of everything it billed.
33Billing provider infoMAPLE LEAF FAMILY DENTISTRY
MORRISVILLE, VT 05661
MORRISVILLE, VT 05661
33aNPI1912100256assigned 06/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.22M
24GClaims27,581
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#7 of 88
Median peer was paid$57K
This provider vs. median22×
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 | 105 | $3K | |
| 2019 | 76 | $2K | |
| 2020 | 877 | $25K | |
| 2021 | 2,983 | $105K | |
| 2022 | 4,459 | $148K | |
| 2023 | 8,418 | $417K | |
| 2024incomplete | 10,663 | $516K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 15% | 4,501 | 4,340 | $178K |
| D0330 | Panoramic radiographic image | 14% | 3,327 | 3,306 | $174K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 1,408 | 953 | $145K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 1,680 | 692 | $124K |
| D1110 | Prophylaxis - adult | 8.2% | 1,951 | 1,934 | $100K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 1,378 | 1,366 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 2,173 | 2,150 | $67K |
| D5110 | 4.5% | 87 | 87 | $55K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 806 | 640 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 1,032 | 760 | $51K |
| D0274 | Bitewings - four radiographic images | 2.9% | 1,233 | 1,223 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 1,358 | 1,347 | $34K |
12 more codes
| D1206 | Topical application of fluoride varnish | 2.7% | 1,984 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,636 | $23K |
| D5120 | 1.9% | 38 | $23K | |
| D0272 | Bitewings - two radiographic images | <1% | 462 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 110 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 969 | $6K |
| D2331 | <1% | 75 | $5K | |
| D2330 | <1% | 75 | $4K | |
| D2335 | <1% | 45 | $4K | |
| D2332 | <1% | 46 | $3K | |
| D7250 | <1% | 42 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 165 | $2K |
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 officialEBERT, MATTHEW (OWNER)