Dental
Tooth Fairy Pediatric Dentistry
Tooth Fairy Pediatric Dentistry was paid $743K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoTOOTH FAIRY PEDIATRIC DENTISTRY
RIDGEFIELD, CT 06877
RIDGEFIELD, CT 06877
33aNPI1609016963assigned 02/26/2009
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$743K
24GClaims18,743
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Connecticut
Rank by total paid#23 of 94
Median peer was paid$188K
This provider vs. median4.0×
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 | 3,124 | $124K | |
| 2019 | 2,494 | $93K | |
| 2020 | 1,825 | $64K | |
| 2021 | 1,879 | $65K | |
| 2022 | 2,018 | $73K | |
| 2023 | 3,162 | $140K | |
| 2024incomplete | 4,241 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 4,998 | 4,823 | $213K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 4,049 | 3,925 | $132K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 4,897 | 4,728 | $131K |
| D8670 | Periodic orthodontic treatment visit | 13% | 1,834 | 1,770 | $96K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 704 | 275 | $70K |
| D1351 | Sealant - per tooth | 3.0% | 628 | 167 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 334 | 290 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 250 | 243 | $15K |
| D0272 | Bitewings - two radiographic images | 1.7% | 431 | 409 | $12K |
| D0274 | Bitewings - four radiographic images | 1.6% | 283 | 259 | $12K |
| D0330 | Panoramic radiographic image | 1.4% | 152 | 142 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 68 | 39 | $6K |
2 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 officialLEE, SUHO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kids Dental Specialists LLC | Danbury, CT | $7.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.