Dental
NPI deactivated
Family Smile Center, LLC
Family Smile Center, LLC was paid $12K by Medicaid between Mar 2018 and Jun 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 53% of everything it billed.
33Billing provider infoFAMILY SMILE CENTER, LLC
MANCHESTER, CT 06040
MANCHESTER, CT 06040
33aNPI1356543268assigned 06/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims353
24DCodes billed3
24AFirst – last monthMar 2018 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#302 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 | |
|---|---|---|---|
| 2018 | 70 | $2K | |
| 2019 | 76 | $3K | |
| 2020 | 63 | $2K | |
| 2022 | 58 | $2K | |
| 2023 | 56 | $2K | |
| 2024incomplete | 30 | $955.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 53% | 149 | 148 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 30% | 134 | 133 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 70 | 69 | $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 officialLEVY, JODI (OWNER)