Dental
Lebanon Dental Centre
Lebanon Dental Centre was paid $11K by Medicaid between Jan 2018 and Jul 2020, across 5 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 30% of everything it billed.
33Billing provider infoLEBANON DENTAL CENTRE
LEBANON, NH 03766
LEBANON, NH 03766
33aNPI1972707651assigned 06/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims476
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in New Hampshire
Rank by total paid#45 of 89
Median peer was paid$11K
This provider vs. median1.0×
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 | 313 | $6K | |
| 2019 | 150 | $4K | |
| 2020 | 13 | $345.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 30% | 225 | 182 | $3K |
| D1110 | Prophylaxis - adult | 20% | 54 | 46 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 66 | 54 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 75 | 62 | $2K |
| D0274 | Bitewings - four radiographic images | 14% | 56 | 50 | $1K |
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 officialSANTA MARIA, ANGELINA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Smiles of Waterbury, LLC | Waterbury, CT | $3.20M |
| Reidville Dentistry & Implants | Waterbury, CT | $112K |
| Oral Care Dental Group II, LLC | New London, CT | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.