Dental
SPH Bridgeport, LLC
SPH Bridgeport, LLC was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 11% of everything it billed.
33Billing provider infoSPH BRIDGEPORT, LLC
BRIDGEPORT, CT 06610
BRIDGEPORT, CT 06610
33aNPI1194193094assigned 09/09/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$2.65M
24GClaims75,558
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Connecticut
Rank by total paid#9 of 54
Median peer was paid$141K
This provider vs. median19×
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 | 14,512 | $491K | |
| 2019 | 12,711 | $410K | |
| 2020 | 9,986 | $324K | |
| 2021 | 13,535 | $456K | |
| 2022 | 9,091 | $306K | |
| 2023 | 8,425 | $329K | |
| 2024incomplete | 7,298 | $337K |
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 | 11% | 3,809 | 2,181 | $305K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 6,444 | 6,381 | $284K |
| D0274 | Bitewings - four radiographic images | 10% | 8,351 | 8,216 | $269K |
| D1110 | Prophylaxis - adult | 9.9% | 7,777 | 7,583 | $262K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 11,311 | 11,174 | $251K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 9,574 | 9,401 | $244K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 6,170 | 5,100 | $237K |
| D0140 | Limited oral evaluation - problem focused | 7.3% | 6,982 | 6,644 | $194K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 1,647 | 1,577 | $93K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 828 | 589 | $86K |
| D0330 | Panoramic radiographic image | 3.1% | 1,607 | 1,444 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 1,214 | 660 | $78K |
16 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 847 | $60K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,118 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 3,115 | $31K |
| D2954 | <1% | 197 | $27K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 41 | $23K |
| D1351 | Sealant - per tooth | <1% | 454 | $17K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 242 | $15K |
| D7230 | <1% | 73 | $14K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 72 | $10K |
| D9310 | <1% | 377 | $9K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 20 | $8K |
| D2160 | <1% | 66 | $5K | |
| D2394 | <1% | 13 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $1K |
| D0270 | <1% | 154 | $993.72 | |
| D2140 | <1% | 15 | $784.70 |
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 officialSONG, KIGONS (OWNER)