Dental
Merit Dental of Connecticut PC
Merit Dental of Connecticut PC was paid $16K by Medicaid between Feb 2021 and Jun 2022, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.
33Billing provider infoMERIT DENTAL OF CONNECTICUT PC
MONDOVI, WI 54755
MONDOVI, WI 54755
33aNPI1104295302assigned 09/17/2015
33bProvider typeDentist
28Total paid$16K
24GClaims462
24DCodes billed3
24AFirst – last monthFeb 2021 – Jun 2022
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#112 of 185
Median peer was paid$28K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 323 | $11K | |
| 2022 | 139 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 47% | 183 | 173 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 164 | 156 | $5K |
| D1206 | Topical application of fluoride varnish | 20% | 115 | 112 | $3K |
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 officialMOOS, JEFFREY (PC OWNER)
| Provider | Location | Paid |
|---|---|---|
| Merit Dental Michigan PC | Portage, MI | $161K |
| Modern Dental Professionals Minnesota PC | Wells, MN | $45K |
| Modern Dental Professionals, MN PC | Eagan, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.