Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSullivan County Oral Health Collaborative
    Ask Trek AI about this page

    Sullivan County Oral Health Collaborative — Billing Profile & Reimbursement Data

    NPI 1316172281 · Claremont, NH · Dental Clinic/Center

    Customize your policy alerts

    Sign up for Sullivan County Oral Health Collaborative — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sullivan County Oral Health Collaborative is a dental clinic/center provider located in Claremont, New Hampshire. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSullivan County Oral Health Collaborative
    Address1 Tremont St
    CityClaremont
    StateNH
    ZIP03743
    TaxonomyDental Clinic/Center
    NPI EnumeratedMay 21, 2009

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

    Payer SourceTotal Paid
    Medicaid$892.1K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…1,440$120$166.6K
    D0140Limited oral evaluation – problem focused3,660$40$160.8K
    D0120Periodic oral evaluation - established patient2,490$30$72.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,260$50$62.8K
    D2392Post 2 surface resin‑based composite570$110$60.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,670$20$58.7K
    D1351Sealant - per tooth3,120$20$53K
    D1120Prophylaxis–child1,650$30$52.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)380$90$35.3K
    D0150Comprehensive oral evaluation – new or established patient640$50$30.1K

    Showing 1–10 of 25

    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

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1354N/A1020550$20$175.1K
    D2392Post 2 surface resin‑based composite2760330$110$167.9K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…520300$100$112.8K
    D2391Resin‑based composite – one surface, posterior2950150$100$103.9K
    D1351Sealant - per tooth1870580$30$90.5K
    D1120Prophylaxis–child43160250$40$89.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2250260$100$89K
    D0120Periodic oral evaluation - established patient37190240$30$73.2K
    D2393Resin-based composite, three surfaces, posterior132040$130$54.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth24140200$50$51.6K

    Showing 1–10 of 25

    Nearby Providers

    Other providers in the same ZIP code as Sullivan County Oral Health Collaborative, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Developmental Services Of Sullivan County, Inc.NHChild Intellectual and/or Developmental Disabilities Respite Care$0$139.4M
    Valley Regional Hospital Inc.NHCritical Access Hospital$0$10M
    Colin B Boswell Dds PCNHPediatric Dentistry$0$5.2M
    Golden Cross Ambulance IncNHAmbulance$1.2M$3.5M
    Claremont School DistrictNHLocal Education Agency (LEA)$0$3M
    Daniel PerazaNHDermatology Physician$1.1M$0
    Valley Regional Hospital, Inc.NHUrgent Care Clinic/Center$0$875.8K
    Jose E Peraza Md PLLCNHDermatology Physician$0$870.9K
    Valley Regional Hospital, IncNHFamily Medicine Physician$0$782K
    Samuel GiveenNHOptometrist$120.2K$544.2K

    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
    Sullivan County Oral Health Collaborative — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire