MCM Dental, LLC

MCM Dental, LLC was paid $759K by Medicaid between Aug 2018 and Dec 2024, across 17 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 20% of everything it billed.

33Billing provider infoMCM DENTAL, LLC
LAKEWOOD, CT 06451

33aNPI1235599333assigned 03/02/2016

33bProvider typeDentist

28Total paid$759K

24GClaims21,622

24DCodes billed17

24AFirst – last monthAug 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Connecticut

Rank by total paid#19 of 153

Median peer was paid$41K

This provider vs. median18×

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	660	$21K
2019	2,916	$100K
2020	2,752	$92K
2021	4,033	$136K
2022	4,579	$171K
2023	4,072	$152K
2024incomplete	2,610	$87K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	20%	2,541	1,142	$152K
D1110	Prophylaxis - adult	13%	2,877	2,781	$96K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	3,371	3,288	$80K
D1120	Dental cleaning, childProphylaxis - child	9.9%	1,778	1,747	$75K
D0150	Comprehensive oral evaluation - new or established patient	9.2%	2,104	1,596	$70K
D0274	Bitewings - four radiographic images	8.4%	2,065	2,021	$64K
D1208	Topical application of fluoride, excluding varnish	7.7%	3,147	3,061	$59K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.1%	849	644	$54K
D0210	Intraoral - complete series of radiographic images	6.0%	822	803	$45K
D1206	Topical application of fluoride varnish	2.7%	777	768	$21K
D0140	Limited oral evaluation - problem focused	2.7%	689	664	$21K
D2332		<1%	85	59	$7K

5 more codes

D2150	Silver amalgam - two surfaces, primary or permanent	<1%	100	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	85	$5K
D0220	Intraoral - periapical first radiographic image	<1%	302	$3K
D2140		<1%	18	$1K
D2330		<1%	12	$588.88

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 officialBOATEY, MAXWELL (OWNER)