Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Bloomfield Pediatric Dentistry PLLC

Bloomfield Pediatric Dentistry PLLC was paid $965K by Medicaid between May 2019 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoBLOOMFIELD PEDIATRIC DENTISTRY PLLC
BLOOMFIELD, CT 06002
33aNPI1417452541assigned 03/29/2018
33bProvider typePediatric Dentist
28Total paid$965K
24GClaims25,480
24DCodes billed16
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#25 of 84
Median peer was paid$311K
This provider vs. median3.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2019524$20K
20201,894$68K
20215,449$217K
20225,537$212K
20235,550$203K
2024incomplete6,526$245K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 27% 6,184 5,962 $262K
D1208 Topical application of fluoride, excluding varnish 16% 5,668 5,456 $151K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 4,435 4,298 $145K
D0150 Comprehensive oral evaluation - new or established patient 10% 1,659 1,579 $97K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6.4% 1,151 1,020 $62K
D0272 Bitewings - two radiographic images 5.6% 1,847 1,778 $54K
D0330 Panoramic radiographic image 5.3% 807 781 $51K
D1351 Sealant - per tooth 4.6% 1,462 330 $45K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.3% 407 247 $41K
D0140 Limited oral evaluation - problem focused 1.9% 415 398 $19K
D1206 Topical application of fluoride varnish 1.3% 460 455 $13K
D0220 Intraoral - periapical first radiographic image <1% 509 483 $9K
4 more codes
D7140 Extraction, erupted tooth or exposed root <1% 70 $7K
D0240 <1% 310 $5K
D0274 Bitewings - four radiographic images <1% 69 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 27 $416.50

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 officialWONG, JOHN (OWNER)