Dental
Shoreline Modern Dental LLC
Shoreline Modern Dental LLC was paid $950K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoSHORELINE MODERN DENTAL LLC
OLD SAYBROOK, CT 06475
OLD SAYBROOK, CT 06475
33aNPI1134477532assigned 08/16/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$950K
24GClaims28,104
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#69 of 431
Median peer was paid$79K
This provider vs. median12×
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 | 3,861 | $133K | |
| 2019 | 3,823 | $135K | |
| 2020 | 3,800 | $112K | |
| 2021 | 4,596 | $150K | |
| 2022 | 4,853 | $174K | |
| 2023 | 4,786 | $159K | |
| 2024incomplete | 2,385 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 3,601 | 2,098 | $205K |
| D1110 | Prophylaxis - adult | 15% | 4,653 | 4,263 | $139K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 2,752 | 1,522 | $128K |
| D0274 | Bitewings - four radiographic images | 10% | 3,713 | 3,402 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 3,825 | 3,593 | $79K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 2,443 | 2,206 | $59K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 682 | 483 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 1,737 | 1,528 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 1,083 | 994 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 718 | 666 | $28K |
| D2331 | 2.4% | 391 | 227 | $23K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 697 | 627 | $16K |
6 more codes
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 officialDAAR, BRADLEY (PRESIDENT/OWNER)