Dental
Perfect Smile Dental PC
Perfect Smile Dental PC was paid $12K by Medicaid between Oct 2024 and Dec 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoPERFECT SMILE DENTAL PC
MANCHESTER, CT 06042
MANCHESTER, CT 06042
33aNPI1346074143assigned 08/26/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims663
24DCodes billed9
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#300 of 431
Median peer was paid$79K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 663 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 108 | 81 | $3K |
| D0140 | Limited oral evaluation - problem focused | 24% | 160 | 101 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 23% | 77 | 65 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.1% | 150 | 90 | $1K |
| D1110 | Prophylaxis - adult | 4.0% | 36 | 20 | $499.20 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 29 | 17 | $495.88 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 45 | 28 | $490.70 |
| D0274 | Bitewings - four radiographic images | 3.4% | 34 | 23 | $421.92 |
| D1206 | Topical application of fluoride varnish | 1.6% | 24 | 13 | $198.94 |
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 officialMODI, NISHIT (OWNER)
Parent organizationPERFECT SMILE DENTAL PC
| Provider | Location | Paid |
|---|---|---|
| Smile Rite Dental Care LLC | Southington, CT | $1.97M |
| M&N Dental Care PLLC | Torrington, CT | $1.95M |
| Alpha Dental PLLC | New Britain, CT | $1.90M |
| Horizon Dental LLC | Southington, CT | $1.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.