Clinic
Ikon Dental Group LLC
Ikon Dental Group LLC was paid $74K by Medicaid between Jan 2020 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoIKON DENTAL GROUP LLC
PLAINVILLE, CT 06062
PLAINVILLE, CT 06062
33aNPI1063922581assigned 10/10/2017
33bProvider typeDental Clinic/Center
28Total paid$74K
24GClaims2,155
24DCodes billed10
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#54 of 78
Median peer was paid$192K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 29 | $996.58 | |
| 2021 | 78 | $2K | |
| 2022 | 370 | $14K | |
| 2023 | 879 | $32K | |
| 2024incomplete | 799 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 474 | 461 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 314 | 289 | $13K |
| D1206 | Topical application of fluoride varnish | 15% | 486 | 477 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 334 | 330 | $9K |
| D0274 | Bitewings - four radiographic images | 10% | 219 | 214 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 9.0% | 102 | 99 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.5% | 109 | 107 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 24 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 80 | 74 | $986.18 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $421.44 |
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 officialKHAN, IZAZ (OWNER/SOLE MEMBER)