Pediatric Dentistry, P.C.

Pediatric Dentistry, P.C. was paid $34K by Medicaid between Jan 2018 and Feb 2018, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY, P.C.
NEW BRITAIN, CT 06052

33aNPI1396898847assigned 01/19/2007

33bProvider typePediatric Dentist

28Total paid$34K

24GClaims935

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#56 of 84

Median peer was paid$311K

This provider vs. median0.1×

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	935	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	254	250	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	263	259	$8K
D1206	Topical application of fluoride varnish	19%	259	253	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.1%	26	14	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.2%	23	15	$2K
D0272	Bitewings - two radiographic images	4.6%	53	53	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.5%	22	19	$1K
D9920		2.4%	21	18	$821.74
D1110	Prophylaxis - adult	<1%	14	12	$299.52

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 officialTHAL, WALTER (PRESIDENT)