Pediatric Dental Sedation Specialist of Connecticut LLC

Pediatric Dental Sedation Specialist of Connecticut LLC was paid $1.14M by Medicaid between Jan 2018 and Jun 2021, across 10 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 48% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC
NORWALK, CT 06851

33aNPI1053704445assigned 03/10/2015

33bProvider typePediatric Dentist

28Total paid$1.14M

24GClaims6,011

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#23 of 84

Median peer was paid$311K

This provider vs. median3.7×

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	1,918	$382K
2019	1,994	$392K
2020	1,383	$240K
2021	716	$129K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	48%	560	527	$547K
D2930	Prefabricated stainless steel crown - primary tooth	35%	2,109	420	$398K
D7140	Extraction, erupted tooth or exposed root	8.4%	917	289	$96K
D0150	Comprehensive oral evaluation - new or established patient	4.4%	851	826	$51K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.3%	478	453	$26K
D0272	Bitewings - two radiographic images	1.3%	494	482	$15K
D0240		<1%	394	383	$7K
D0220	Intraoral - periapical first radiographic image	<1%	155	149	$3K
D1351	Sealant - per tooth	<1%	35	13	$862.40
D0230	Intraoral - periapical each additional radiographic image	<1%	18	12	$299.88

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 officialLEVY, JESSICA (MEMBER)

Same official

Other billing entities under LEVY, JESSICA

Full network →

Provider	Location	Paid
Every Voice, PLLC	Rocky Mount, NC	$20K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.