Dental
Pediatric Dental Associates of Southbury LLC
Pediatric Dental Associates of Southbury LLC was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES OF SOUTHBURY LLC
SOUTHBURY, CT 06488
SOUTHBURY, CT 06488
33aNPI1629225875assigned 08/19/2008
33bProvider typePediatric Dentist
28Total paid$1.94M
24GClaims56,282
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#14 of 84
Median peer was paid$311K
This provider vs. median6.2×
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 | 7,809 | $275K | |
| 2019 | 8,455 | $298K | |
| 2020 | 5,263 | $177K | |
| 2021 | 6,794 | $248K | |
| 2022 | 8,147 | $284K | |
| 2023 | 9,536 | $324K | |
| 2024incomplete | 10,278 | $335K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 16,397 | 15,706 | $678K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 15,893 | 15,170 | $496K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 16,123 | 15,406 | $419K |
| D0272 | Bitewings - two radiographic images | 6.3% | 4,151 | 3,976 | $121K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 751 | 464 | $74K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 767 | 410 | $64K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 942 | 878 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 186 | 180 | $11K |
| D0330 | Panoramic radiographic image | <1% | 161 | 126 | $9K |
| D1351 | Sealant - per tooth | <1% | 255 | 78 | $9K |
| D1110 | Prophylaxis - adult | <1% | 312 | 301 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 136 | 118 | $5K |
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 officialGILLETTE, MARGUERITE (OFFICE MANAGER)