Dental
Bristol Park Dental Associates PLC
Bristol Park Dental Associates PLC was paid $969K by Medicaid between Dec 2019 and Nov 2024, across 28 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoBRISTOL PARK DENTAL ASSOCIATES PLC
BRISTOL, VT 05443
BRISTOL, VT 05443
33aNPI1437792983assigned 10/28/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$969K
24GClaims26,966
24DCodes billed28
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#10 of 88
Median peer was paid$57K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 86 | $918.00 | |
| 2020 | 1,024 | $36K | |
| 2021 | 879 | $31K | |
| 2022 | 1,714 | $56K | |
| 2023 | 7,090 | $241K | |
| 2024incomplete | 16,173 | $605K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 3,379 | 2,914 | $170K |
| D1206 | Topical application of fluoride varnish | 11% | 4,367 | 3,665 | $105K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 767 | 420 | $100K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 3,485 | 2,995 | $98K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 1,393 | 1,149 | $60K |
| D0330 | Panoramic radiographic image | 6.1% | 913 | 769 | $60K |
| D0274 | Bitewings - four radiographic images | 5.1% | 1,402 | 1,208 | $49K |
| D1351 | Sealant - per tooth | 5.1% | 3,236 | 545 | $49K |
| D9920 | 3.2% | 1,045 | 865 | $31K | |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 1,619 | 1,292 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 500 | 440 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 260 | 145 | $22K |
16 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,432 | $21K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 480 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 185 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 117 | $18K |
| D4346 | 1.5% | 249 | $14K | |
| D1354 | 1.4% | 631 | $13K | |
| D4355 | 1.3% | 113 | $12K | |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 162 | $12K |
| D0272 | Bitewings - two radiographic images | 1.0% | 376 | $10K |
| D4341 | <1% | 48 | $8K | |
| D1330 | <1% | 274 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 367 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 38 | $5K |
| D2950 | <1% | 20 | $2K | |
| D2331 | <1% | 16 | $2K | |
| D1353 | 0% | 92 | $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 officialHAMIDZADEH, FARID (DENTIST/OWNER)