West Hartford Family Dentistry

West Hartford Family Dentistry was paid $32K by Medicaid between Jan 2018 and Oct 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoWEST HARTFORD FAMILY DENTISTRY
WEST HARTFORD, CT 06117

33aNPI1487838330assigned 12/27/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims944

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#266 of 431

Median peer was paid$79K

This provider vs. median0.4×

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	944	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	322	316	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	320	314	$10K
D1208	Topical application of fluoride, excluding varnish	23%	275	272	$7K
D0220	Intraoral - periapical first radiographic image	1.5%	27	26	$465.50

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 officialSHAKUN, ROY (PRESIDENT)