Dental
Dutchmen Dental LLC
Dutchmen Dental LLC was paid $592K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.
33Billing provider infoDUTCHMEN DENTAL LLC
TIVERTON, RI 02878
TIVERTON, RI 02878
33aNPI1912172016assigned 04/29/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$592K
24GClaims15,128
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#21 of 86
Median peer was paid$77K
This provider vs. median7.7×
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 | 2,188 | $82K | |
| 2019 | 3,434 | $126K | |
| 2020 | 2,498 | $101K | |
| 2021 | 3,515 | $142K | |
| 2022 | 2,027 | $83K | |
| 2023 | 985 | $38K | |
| 2024incomplete | 481 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 49% | 6,050 | 5,915 | $288K |
| D0274 | Bitewings - four radiographic images | 16% | 2,909 | 2,854 | $96K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 885 | 870 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 1,728 | 1,703 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 488 | 338 | $31K |
| D1206 | Topical application of fluoride varnish | 5.0% | 1,249 | 1,242 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 392 | 385 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 450 | 443 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 649 | 615 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 100 | 76 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 64 | 63 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 53 | 39 | $2K |
4 more codes
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 officialVAN REGENMORTER, JON PAUL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rock Street Pedodontics INC | Fall River, MA | $1.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.