Dental
Long Ridge Dental LLC
Long Ridge Dental LLC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoLONG RIDGE DENTAL LLC
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
33aNPI1356756423assigned 06/26/2014
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.27M
24GClaims36,921
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Connecticut
Rank by total paid#12 of 54
Median peer was paid$141K
This provider vs. median9.0×
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 | 5,984 | $201K | |
| 2019 | 5,560 | $167K | |
| 2020 | 4,778 | $155K | |
| 2021 | 7,085 | $222K | |
| 2022 | 4,455 | $147K | |
| 2023 | 4,458 | $196K | |
| 2024incomplete | 4,601 | $185K |
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 | 20% | 3,276 | 1,856 | $249K |
| D1110 | Prophylaxis - adult | 12% | 4,553 | 4,423 | $151K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 3,867 | 3,053 | $132K |
| D0274 | Bitewings - four radiographic images | 10% | 4,202 | 4,127 | $131K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 4,339 | 4,085 | $120K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 5,115 | 5,029 | $105K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 4,159 | 4,102 | $101K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 1,866 | 1,847 | $82K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 904 | 871 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 596 | 303 | $39K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 381 | 238 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,882 | 2,768 | $31K |
9 more codes
| D2954 | 1.2% | 114 | $15K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 52 | $9K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 18 | $9K |
| D0330 | Panoramic radiographic image | <1% | 165 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 54 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 316 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $2K |
| D0270 | <1% | 29 | $227.64 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $223.36 |
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 officialSONG, KIGON (OWNER)