Dental
DR. Dental of West Hartford, PC
DR. Dental of West Hartford, PC was paid $1.50M by Medicaid between Jan 2018 and Aug 2022, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoDR. DENTAL OF WEST HARTFORD, PC
WEST HARTFORD, CT 06119
WEST HARTFORD, CT 06119
33aNPI1285901561assigned 11/30/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$1.50M
24GClaims51,526
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#38 of 431
Median peer was paid$79K
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 | 9,175 | $262K | |
| 2019 | 10,393 | $308K | |
| 2020 | 6,746 | $189K | |
| 2021 | 17,494 | $525K | |
| 2022 | 7,718 | $218K |
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 | 14% | 3,603 | 1,944 | $217K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 4,674 | 3,699 | $143K |
| D1110 | Prophylaxis - adult | 9.1% | 5,006 | 4,337 | $137K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.1% | 2,642 | 1,382 | $137K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 7,637 | 6,820 | $133K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 3,040 | 2,788 | $122K |
| D0274 | Bitewings - four radiographic images | 7.4% | 4,095 | 3,632 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 2,405 | 2,102 | $107K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 4,306 | 3,925 | $97K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 3,378 | 2,870 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.1% | 901 | 612 | $62K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 4,606 | 3,902 | $45K |
14 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 461 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 2,792 | $24K |
| D1351 | Sealant - per tooth | 1.4% | 594 | $21K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 367 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 156 | $9K |
| D2140 | <1% | 100 | $5K | |
| D2160 | <1% | 59 | $3K | |
| D7250 | <1% | 50 | $3K | |
| D2330 | <1% | 70 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 137 | $3K |
| D0270 | <1% | 366 | $2K | |
| D2394 | <1% | 15 | $2K | |
| D2331 | <1% | 24 | $1K | |
| D0602 | 0% | 42 | $0.00 |
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 officialMARTI, JUSTIN (MANAGER)