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    OpenPayerNPI Medicare & MedicaidJames B. Haas, Dds PA
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    James B. Haas, Dds PA — Billing Profile & Reimbursement Data

    NPI 1295165090 · Derry, NH · Pediatric Dentistry

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    James B. Haas, Dds PA is a pediatric dentistry provider located in Derry, New Hampshire. This profile covers 0 Medicare and 30 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJames B. Haas, Dds PA
    Address4 Manchester Ave
    CityDerry
    StateNH
    ZIP03038
    TaxonomyPediatric Dentistry
    NPI EnumeratedNovember 15, 2013

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

    Payer SourceTotal Paid
    Medicaid$11.6M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $11.6M, indicating the practice’s commercial/Medicare exposure is either minimal or not captured and the operation relies heavily on Medicaid patients for revenue. Analysts should treat this profile as Medicaid-centric when evaluating network value or utilization patterns.

    Revenue is highly concentrated in a small set of pediatric dental codes: the precomputed top 3 Medicaid codes account for 40.0% of this provider’s total Medicaid revenue, led by D2392 ($2.5M, 21.2%), followed by D1120 ($1.1M, 9.9%) and D2930 ($1M, 8.9%). This concentration suggests that a handful of procedures drive most of the cash flow and merit targeted review for contract negotiations or program design.

    The code mix points to a high-volume pediatric dental practice focused on restorative and preventive services. D2392 (Post 2 surface resin‑based composite) and D2391/D2393 restorative codes, combined with very large volumes of prophylaxis D1120 and sealant D1351, indicate routine restorative treatment plus broad-scale preventive care delivery; note that D2930 appears among the top drivers but its description is not available in the dataset.

    Competitive standing within New Hampshire is unusually strong for multiple codes: D2392 ranks #1 of 62 providers in-state (100th percentile; extreme outlier), while D1120 ranks #4 of 162 (98th percentile; extreme outlier) and D0150 ranks #2 of 104 (99th percentile; extreme outlier). These percentile ranks characterize the provider as a dominant statewide participant for several pediatric dentistry services rather than a modest peer.

    Claim volumes underscore substantial throughput and recurring visits: D0120 has 31.4K claims, D1120 30.2K claims, D2392 21.5K claims, D1206 19.1K claims, and D1351 18.1K claims. High claim counts across diagnostic, preventive, and restorative codes suggest a large patient panel and frequent utilization of age‑appropriate preventive services.

    Beyond the top three, the provider reports elevated percentile rankings across many code categories—examples include D0150 (99th percentile, extreme outlier), D9230 (98th percentile, extreme outlier), D1110 (98th percentile, extreme outlier), and D2391 (96th percentile, notably above typical). This broad pattern of above‑typical volumes across diagnostic, preventive, and restorative codes indicates consistent, practice‑wide intensity rather than a narrow anomaly limited to one procedure.

    Tenure is substantial: the NPI was enumerated 2013-11-15 (~13 years ago), which signals an established presence in the market and a multi‑year operating history under this billing identity. That longevity strengthens the case that high volumes reflect sustained practice patterns rather than a short‑term spike.

    Implications for payers and network managers include treating this provider as a major Medicaid pediatric dental resource for New Hampshire—both for access planning and for reimbursement contracting—while also prioritizing utilization monitoring and focused medical‑policy review for the high‑revenue codes. Given the extreme outlier status on several measures, payers may consider targeted audits, network value assessments, or negotiated value‑based arrangements tailored to pediatric restorative and preventive services.

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite21,520$110$2.5M
    D1120Prophylaxis–child30,200$40$1.1M
    D2930N/A4,590$220$1M
    D0120Periodic oral evaluation - established patient31,410$30$1M
    D2391Resin‑based composite – one surface, posterior6,980$100$704.5K
    D9230N/A17,050$40$682K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)6,450$110$677K
    D1351Sealant - per tooth18,090$30$578.9K
    D0150Comprehensive oral evaluation – new or established patient9,240$60$545.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth8,850$60$486.6K

    Showing 1–10 of 30

    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

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A310590$210$535.2K
    D8080N/A101030$1,190$430.2K
    D2392Post 2 surface resin‑based composite160330$110$167.9K
    D3220N/A31080$100$157.1K
    D2391Resin‑based composite – one surface, posterior350150$100$103.9K
    D9230N/A240710$40$96.9K
    D1351Sealant - per tooth470580$30$90.5K
    D1120Prophylaxis–child4160250$40$89.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)350260$100$89K
    D0120Periodic oral evaluation - established patient4190240$30$73.2K

    Showing 1–10 of 30

    Nearby Providers

    Other providers in the same ZIP code as James B. Haas, Dds PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Center For Southern New Hampshire IncNHMental Health Clinic/Center (Including Community Mental Health Center)$0$77.7M
    Tender Care IncorporatedNHHome Health Agency$0$11.4M
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$10.8M
    The Granite House Sober Living, LLCNHSubstance Abuse Rehabilitation Facility$0$4.2M
    Derry Medical Center, PANHFamily Medicine Physician$0$2.4M
    Running Brook Emergency Physicians, LLCNHEmergency Medicine Physician$0$1.9M
    Derry Cooperative School DistrictNHLocal Education Agency (LEA)$0$1.4M
    Emergency Medicine Services Of Nh, LLCNHEmergency Medicine Physician$0$1.1M
    Town Of DerryNHAmbulance$377.9K$621.2K
    Derry PediatricsNHPediatrics Physician$0$778.9K

    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
    James B. Haas, Dds PA — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire