Clinic
Smile Haven Dental Center II
Smile Haven Dental Center II was paid $81K by Medicaid between Feb 2020 and Dec 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.
33Billing provider infoSMILE HAVEN DENTAL CENTER II
BURLINGTON, CT 06013
BURLINGTON, CT 06013
33aNPI1316451461assigned 11/28/2017
33bProvider typeDental Clinic/Center
28Total paid$81K
24GClaims3,146
24DCodes billed10
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#51 of 78
Median peer was paid$192K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 167 | $4K | |
| 2021 | 223 | $7K | |
| 2022 | 464 | $11K | |
| 2023 | 1,002 | $29K | |
| 2024incomplete | 1,290 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24% | 1,021 | 905 | $19K |
| D0274 | Bitewings - four radiographic images | 22% | 616 | 534 | $18K |
| D1110 | Prophylaxis - adult | 20% | 559 | 477 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 538 | 473 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 145 | 135 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 127 | 101 | $4K |
| D0330 | Panoramic radiographic image | 2.7% | 63 | 46 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 22 | 14 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 15 | 12 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 40 | 26 | $812.16 |
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 officialCLIFF, DAWN (OFFICE MANAGER)