Dental
Childrens Dentistry of Westerly LLC
Childrens Dentistry of Westerly LLC was paid $249K by Medicaid between Jan 2018 and Jan 2022, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoCHILDRENS DENTISTRY OF WESTERLY LLC
WESTERLY, RI 02891
WESTERLY, RI 02891
33aNPI1497980924assigned 05/28/2009
33bProvider typePediatric Dentist
28Total paid$249K
24GClaims7,753
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#21 of 29
Median peer was paid$643K
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 | 2,068 | $61K | |
| 2019 | 1,898 | $61K | |
| 2020 | 1,603 | $53K | |
| 2021 | 2,049 | $69K | |
| 2022 | 135 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 2,474 | 2,392 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 2,284 | 2,189 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 26% | 2,503 | 2,421 | $64K |
| D0272 | Bitewings - two radiographic images | 5.6% | 492 | 473 | $14K |
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 officialSHANNON, BRIAN (OWNER)