Dental
Montshire Rutland PC
Montshire Rutland PC was paid $83K by Medicaid between Sep 2024 and Nov 2024, across 10 billing codes. Its largest line is D1354, — 26% of everything it billed.
33Billing provider infoMONTSHIRE RUTLAND PC
RUTLAND, VT 05701
RUTLAND, VT 05701
33aNPI1922842749assigned 06/25/2024
33bProvider typePediatric Dentist
28Total paid$83K
24GClaims2,414
24DCodes billed10
24AFirst – last monthSep 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Vermont
Rank by total paid#6 of 6
Median peer was paid$814K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 2,414 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 26% | 1,021 | 140 | $22K | |
| D2940 | 19% | 212 | 50 | $16K | |
| D1351 | Sealant - per tooth | 18% | 610 | 82 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 155 | 153 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 86 | 82 | $8K |
| D1206 | Topical application of fluoride varnish | 8.2% | 210 | 206 | $7K |
| D0274 | Bitewings - four radiographic images | 3.1% | 53 | 53 | $3K |
| D0330 | Panoramic radiographic image | 2.7% | 26 | 26 | $2K |
| D0272 | Bitewings - two radiographic images | 1.2% | 26 | 26 | $955.50 |
| D1330 | <1% | 15 | 15 | $451.50 |
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 officialNORRIS, JONATHAN (OWNER / PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Montshire Pediatric Dentistry, PC | Keene, NH | $7.07M |
| Montshire Henniker PC | Henniker, NH | $334K |
| Montshire Dublin PC | Dublin, NH | $110K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.