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    OpenPayerNPI Medicare & MedicaidConcord Pediatric Dentistry Of New London, PLLC
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    Concord Pediatric Dentistry Of New London, PLLC — Billing Profile & Reimbursement Data

    NPI 1033535836 · New London, NH · Point of Service

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    Concord Pediatric Dentistry Of New London, PLLC is a point of service provider located in New London, New Hampshire. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationConcord Pediatric Dentistry Of New London, PLLC
    Address299 Main St.
    CityNew London
    StateNH
    ZIP03257
    TaxonomyPoint of Service
    NPI EnumeratedMarch 17, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$915.6K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient8,730$30$270.5K
    D1120Prophylaxis–child6,160$40$227.7K
    D1208Topical application of fluoride - excluding varnish9,740$20$175.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,130$50$60.8K
    D2392Post 2 surface resin‑based composite570$110$60.2K
    D9230N/A1,450$40$55.3K
    D0272N/A860$30$22.3K
    D0274N/A510$30$16.7K
    D1351Sealant - per tooth320$30$9.6K
    D0150Comprehensive oral evaluation – new or established patient130$60$7.2K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Hampshire median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite2560330$110$167.9K
    D2391Resin‑based composite – one surface, posterior5250150$100$103.9K
    D9230N/A1440710$40$96.9K
    D1351Sealant - per tooth4470580$30$90.5K
    D1120Prophylaxis–child15160250$40$89.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4850260$100$89K
    D0120Periodic oral evaluation - established patient12190240$30$73.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth26140200$50$51.6K
    D0272N/A2470440$30$45.2K
    D0140Limited oral evaluation – problem focused6080230$40$40.4K

    Showing 1–10 of 15

    Nearby Providers

    Other providers in the same ZIP code as Concord Pediatric Dentistry Of New London, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Counseling Associates Of New London PLLCNHMental Health Counselor$0$3.7M
    The New London Hospital Association, Inc.NHCritical Access Hospital$0$2.6M
    Kearsarge Regional School DistrictNHLocal Education Agency (LEA)$0$835.2K
    Garrett BombaNHEmergency Medicine Physician$513.6K$18.9K
    Lake Sunapee Community Health ServicesNHHome Health Agency$0$334K
    Lynn HaywardNHMental Health Counselor$0$198.7K
    Lake Sunapee Home Care And HospiceNHHome Health Agency$0$118.3K
    Roberts Scarlett Pharmacy IncNHCommunity/Retail Pharmacy$107.2K$0
    Dorothy HitchmothNHOptometrist$92.2K$0
    Adrienne GerhartNHFamily Medicine Physician$83.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Concord Pediatric Dentistry Of New London, PLLC — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire