Clinic
Connecticut Center for Oral Facial and Implant Surgery PC
Connecticut Center for Oral Facial and Implant Surgery PC was paid $19K by Medicaid between Aug 2020 and Aug 2024, across 6 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 64% of everything it billed.
33Billing provider infoCONNECTICUT CENTER FOR ORAL FACIAL AND IMPLANT SURGERY PC
WEST HARTFORD, CT 06107
WEST HARTFORD, CT 06107
33aNPI1053782060assigned 10/16/2015
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$19K
24GClaims421
24DCodes billed6
24AFirst – last monthAug 2020 – Aug 2024
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 | |
|---|---|---|---|
| 2020 | 122 | $2K | |
| 2022 | 86 | $4K | |
| 2023 | 157 | $11K | |
| 2024incomplete | 56 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 64% | 291 | 275 | $12K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 21% | 12 | 12 | $4K |
| D9222 | 7.6% | 12 | 12 | $1K | |
| D0330 | Panoramic radiographic image | 5.2% | 12 | 12 | $983.10 |
| D9610 | 1.9% | 12 | 12 | $360.00 | |
| D1999 | 0% | 82 | 72 | $0.00 |
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 officialGADY, JACOB (PRESIDENT)