Dental
Brookfield Pediatric Dental LLC
Brookfield Pediatric Dental LLC was paid $264K by Medicaid between Feb 2024 and Dec 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.
33Billing provider infoBROOKFIELD PEDIATRIC DENTAL LLC
BROOKFIELD, CT 06804
BROOKFIELD, CT 06804
33aNPI1497526057assigned 01/12/2024
33bProvider typePediatric Dentist
28Total paid$264K
24GClaims5,489
24DCodes billed15
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#46 of 84
Median peer was paid$311K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 5,489 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 825 | 801 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,117 | 1,081 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 460 | 224 | $47K |
| D1351 | Sealant - per tooth | 12% | 827 | 240 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,078 | 1,045 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 252 | 148 | $21K |
| D0274 | Bitewings - four radiographic images | 4.1% | 239 | 234 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 258 | 248 | $8K |
| D0330 | Panoramic radiographic image | 2.2% | 72 | 70 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 101 | 85 | $6K |
| D0272 | Bitewings - two radiographic images | 2.1% | 192 | 183 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | 12 | $2K |
3 more codes
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 officialRATHI, MEERA (OWNER/CLINICIAN)