Dental
Family Dental Practice PC
Family Dental Practice PC was paid $279K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoFAMILY DENTAL PRACTICE PC
STAMFORD, CT 06906
STAMFORD, CT 06906
33aNPI1376789966assigned 01/02/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$279K
24GClaims9,764
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#133 of 431
Median peer was paid$79K
This provider vs. median3.5×
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 | 588 | $15K | |
| 2019 | 763 | $18K | |
| 2020 | 974 | $23K | |
| 2021 | 991 | $24K | |
| 2022 | 1,572 | $38K | |
| 2023 | 2,635 | $99K | |
| 2024incomplete | 2,241 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 1,660 | 1,595 | $58K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,880 | 1,843 | $42K |
| D0274 | Bitewings - four radiographic images | 13% | 1,170 | 1,133 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 415 | 249 | $30K |
| D2954 | 6.7% | 131 | 98 | $19K | |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 1,574 | 1,517 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 762 | 737 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 1,467 | 1,055 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 292 | 276 | $12K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.9% | 21 | 12 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 177 | 172 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 78 | 53 | $7K |
3 more codes
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 officialGONCHAROVA, OLGA (OWNER)