Dental
Gorgeous Smiles Dental Hartford
Gorgeous Smiles Dental Hartford was paid $147K by Medicaid between Feb 2024 and Dec 2024, across 17 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 13% of everything it billed.
33Billing provider infoGORGEOUS SMILES DENTAL HARTFORD
HARTFORD, CT 06105
HARTFORD, CT 06105
33aNPI1548026685assigned 02/26/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$147K
24GClaims4,949
24DCodes billed17
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#170 of 431
Median peer was paid$79K
This provider vs. median1.9×
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 | 4,949 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 13% | 13 | 13 | $19K |
| D0140 | Limited oral evaluation - problem focused | 12% | 723 | 588 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 714 | 476 | $18K |
| D1110 | Prophylaxis - adult | 9.3% | 500 | 374 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 344 | 259 | $13K |
| D1206 | Topical application of fluoride varnish | 7.5% | 699 | 540 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.8% | 228 | 61 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 460 | 361 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 122 | 58 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 246 | 188 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 49 | 25 | $5K |
| D0274 | Bitewings - four radiographic images | 2.7% | 156 | 123 | $4K |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 404 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 41 | $3K |
| D0330 | Panoramic radiographic image | 1.7% | 197 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 40 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $245.05 |
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 officialBELISLE, RAYMOND (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Gorgeous Smiles Dental, PC | Manchester, CT | $116K |
| Gorgeous Smiles Dental Southington | Southington, CT | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.