Canton Valley Dental LLC

Canton Valley Dental LLC was paid $28K by Medicaid between Jan 2018 and May 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoCANTON VALLEY DENTAL LLC
CANTON, CT 06019

33aNPI1154560118assigned 02/16/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$28K

24GClaims1,010

24DCodes billed6

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#271 of 431

Median peer was paid$79K

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
2018	315	$8K
2019	333	$10K
2020	247	$7K
2021	115	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	591	561	$14K
D1120	Dental cleaning, childProphylaxis - child	37%	260	255	$10K
D1206	Topical application of fluoride varnish	8.0%	87	86	$2K
D1110	Prophylaxis - adult	4.2%	45	44	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.4%	15	12	$390.00
D1208	Topical application of fluoride, excluding varnish	1.2%	12	12	$341.04

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 officialKEEFE, MATTHEW (DENTIST/PARTNER)