Dental
Toddlesr to Teens Pediatric Dentistry
Toddlesr to Teens Pediatric Dentistry was paid $323K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoTODDLESR TO TEENS PEDIATRIC DENTISTRY
WEST HARTFORD, CT 06119
WEST HARTFORD, CT 06119
33aNPI1508136425assigned 01/09/2012
33bProvider typePediatric Dentist
28Total paid$323K
24GClaims9,431
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#42 of 84
Median peer was paid$311K
This provider vs. median1.0×
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 | 2,794 | $92K | |
| 2019 | 2,042 | $75K | |
| 2020 | 1,132 | $38K | |
| 2021 | 1,126 | $41K | |
| 2022 | 946 | $34K | |
| 2023 | 806 | $25K | |
| 2024incomplete | 585 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 2,874 | 2,632 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 2,513 | 2,310 | $78K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 2,219 | 2,036 | $57K |
| D0274 | Bitewings - four radiographic images | 9.1% | 701 | 641 | $30K |
| D0272 | Bitewings - two radiographic images | 5.0% | 564 | 522 | $16K |
| D0330 | Panoramic radiographic image | 3.1% | 140 | 125 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 151 | 130 | $8K |
| D1206 | Topical application of fluoride varnish | 1.5% | 186 | 176 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 65 | 52 | $3K |
| D1999 | 0% | 18 | 15 | $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 officialGONZALEZ, OSCAR (OWNER/ DIRECTOR)