Dental
Pediatric Dentistry of Salem
Pediatric Dentistry of Salem was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF SALEM
SALEM, NH 03079
SALEM, NH 03079
33aNPI1992825137assigned 03/30/2007
33bProvider typePediatric Dentist
28Total paid$1.19M
24GClaims34,048
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#8 of 36
Median peer was paid$260K
This provider vs. median4.6×
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 | 4,794 | $157K | |
| 2019 | 5,347 | $181K | |
| 2020 | 3,772 | $122K | |
| 2021 | 4,824 | $160K | |
| 2022 | 4,864 | $161K | |
| 2023 | 4,908 | $176K | |
| 2024incomplete | 5,539 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 9,425 | 9,122 | $294K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 6,765 | 6,502 | $250K |
| D1110 | Prophylaxis - adult | 14% | 3,154 | 3,034 | $168K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 9,089 | 8,765 | $168K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 972 | 610 | $107K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 865 | 561 | $82K |
| D0272 | Bitewings - two radiographic images | 5.9% | 2,648 | 2,548 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 369 | 340 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 309 | 278 | $13K |
| D1351 | Sealant - per tooth | <1% | 298 | 100 | $9K |
| D0330 | Panoramic radiographic image | <1% | 129 | 123 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | 13 | $754.00 |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 12 | $395.88 |
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 officialWOLFF, ADAM (MANAGER)