Clinic
Childrens Dentistry of Ri LLC
Childrens Dentistry of Ri LLC was paid $175K by Medicaid between Apr 2022 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoCHILDRENS DENTISTRY OF RI LLC
WESTERLY, RI 02891
WESTERLY, RI 02891
33aNPI1114680220assigned 10/15/2021
33bProvider typeDental Clinic/Center
28Total paid$175K
24GClaims5,060
24DCodes billed8
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Rhode Island
Rank by total paid#5 of 9
Median peer was paid$175K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 1,551 | $51K | |
| 2023 | 1,866 | $66K | |
| 2024incomplete | 1,643 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 1,670 | 1,645 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,440 | 1,411 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,111 | 1,070 | $29K |
| D1206 | Topical application of fluoride varnish | 7.6% | 483 | 479 | $13K |
| D0272 | Bitewings - two radiographic images | 4.9% | 292 | 291 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 38 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 14 | $891.80 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $564.48 |
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 officialCAPALBO, MICHAEL (CHIEF DENTIST)