Dental
Dental Vision,pc
Dental Vision,pc was paid $376K by Medicaid between Oct 2022 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoDENTAL VISION,PC
DERBY, CT 06418
DERBY, CT 06418
33aNPI1205563822assigned 08/03/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$376K
24GClaims12,675
24DCodes billed15
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#112 of 431
Median peer was paid$79K
This provider vs. median4.8×
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 | 702 | $15K | |
| 2023 | 5,724 | $175K | |
| 2024incomplete | 6,249 | $186K |
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 | 15% | 772 | 477 | $56K |
| D1110 | Prophylaxis - adult | 13% | 1,252 | 1,190 | $48K |
| D0140 | Limited oral evaluation - problem focused | 12% | 1,489 | 1,338 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 576 | 334 | $36K |
| D0274 | Bitewings - four radiographic images | 9.4% | 1,160 | 1,102 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 1,556 | 1,498 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 634 | 605 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 2,488 | 1,395 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 1,771 | 1,639 | $21K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 201 | 142 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 275 | 271 | $12K |
| D2332 | 2.0% | 70 | 54 | $8K |
3 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 officialPOHORLETSKA, TETYANA (MANAGER)