Dental
Supreme Dental, LLC
Supreme Dental, LLC was paid $90K by Medicaid between Jan 2024 and Dec 2024, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSUPREME DENTAL, LLC
STAMFORD, CT 06902
STAMFORD, CT 06902
33aNPI1235719378assigned 04/13/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims3,129
24DCodes billed11
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#206 of 431
Median peer was paid$79K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2024incomplete | 3,129 | $90K |
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 | 24% | 305 | 128 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 263 | 100 | $15K |
| D1110 | Prophylaxis - adult | 11% | 257 | 237 | $10K |
| D0140 | Limited oral evaluation - problem focused | 10% | 342 | 284 | $9K |
| D0274 | Bitewings - four radiographic images | 10% | 311 | 290 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 596 | 498 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 529 | 336 | $5K |
| D1206 | Topical application of fluoride varnish | 5.8% | 281 | 266 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 157 | 152 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 23 | 16 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 65 | 58 | $2K |
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 officialGHORBANIPARVAR, MOHAMMADREZA (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Hartford Family Dentist LLC | Hartford, CT | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.