Cloverleaf Dental Center, LLC

Cloverleaf Dental Center, LLC was paid $67K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoCLOVERLEAF DENTAL CENTER, LLC
MERIDEN, CT 06450

33aNPI1407922081assigned 11/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$67K

24GClaims2,251

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#230 of 431

Median peer was paid$79K

This provider vs. median0.8×

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	872	$29K
2019	590	$20K
2020	659	$14K
2021	130	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	653	644	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	632	619	$18K
D1208	Topical application of fluoride, excluding varnish	23%	592	586	$15K
D0274	Bitewings - four radiographic images	6.2%	103	103	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.5%	36	24	$3K
D1999		0%	235	190	$0.00

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 officialSORRENTINI-IRIZARRY, VIDYA (OWNER)