Dental
Om Dental LLC
Om Dental LLC was paid $96K by Medicaid between Jun 2019 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoOM DENTAL LLC
NEW BRITAIN, CT 06051
NEW BRITAIN, CT 06051
33aNPI1215313754assigned 08/06/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims4,076
24DCodes billed10
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#199 of 431
Median peer was paid$79K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 68 | $2K | |
| 2020 | 384 | $8K | |
| 2021 | 782 | $17K | |
| 2022 | 711 | $14K | |
| 2023 | 1,212 | $29K | |
| 2024incomplete | 919 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 613 | 575 | $21K |
| D0274 | Bitewings - four radiographic images | 15% | 486 | 453 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 551 | 539 | $13K |
| D0140 | Limited oral evaluation - problem focused | 12% | 412 | 371 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 547 | 527 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 676 | 626 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 194 | 143 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 506 | 283 | $5K |
| D2332 | 4.7% | 43 | 12 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 48 | 24 | $3K |
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 officialSALAS, EDGAR (MEMBER)