Dental
New London Dental Care, LLC
New London Dental Care, LLC was paid $2.93M by Medicaid between Jan 2018 and Jun 2024, across 37 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoNEW LONDON DENTAL CARE, LLC
NEW LONDON, CT 06320
NEW LONDON, CT 06320
33aNPI1629364997assigned 06/24/2011
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$2.93M
24GClaims72,989
24DCodes billed37
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Connecticut
Rank by total paid#7 of 54
Median peer was paid$141K
This provider vs. median21×
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 | 15,615 | $610K | |
| 2019 | 16,966 | $660K | |
| 2020 | 12,249 | $476K | |
| 2021 | 8,872 | $392K | |
| 2022 | 7,136 | $295K | |
| 2023 | 8,734 | $380K | |
| 2024incomplete | 3,417 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 7,880 | 7,309 | $322K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.8% | 2,493 | 1,145 | $259K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 9,444 | 8,350 | $226K |
| D0140 | Limited oral evaluation - problem focused | 7.4% | 8,652 | 7,252 | $218K |
| D2394 | 6.9% | 1,592 | 816 | $202K | |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 7,505 | 6,987 | $192K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 4,294 | 3,686 | $188K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 2,209 | 1,134 | $177K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 2,889 | 2,598 | $164K |
| D1110 | Prophylaxis - adult | 4.9% | 4,825 | 4,366 | $144K |
| D0274 | Bitewings - four radiographic images | 2.8% | 2,713 | 2,485 | $83K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 1,600 | 561 | $81K |
25 more codes
| D3110 | 2.7% | 923 | $81K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.5% | 317 | $74K |
| D7250 | 2.0% | 731 | $58K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 928 | $58K |
| D1351 | Sealant - per tooth | 2.0% | 1,812 | $58K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 878 | $58K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,871 | $51K |
| D0330 | Panoramic radiographic image | 1.3% | 657 | $38K |
| D2161 | 1.2% | 383 | $35K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 1,145 | $31K |
| D1206 | Topical application of fluoride varnish | <1% | 1,725 | $25K |
| D2160 | <1% | 388 | $24K | |
| D2335 | <1% | 171 | $17K | |
| D2950 | <1% | 444 | $13K | |
| D2791 | <1% | 28 | $10K | |
| D2954 | <1% | 97 | $9K | |
| D2940 | <1% | 260 | $8K | |
| D7511 | <1% | 144 | $7K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 40 | $7K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 37 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 523 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 85 | $4K |
| D2140 | <1% | 41 | $1K | |
| D9310 | <1% | 29 | $459.68 | |
| D1999 | 0% | 236 | $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 officialDEVRIES, DIANE (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| SPH2 Enterprise, LLC | Hartford, CT | $776K |
| Khushi, LLC | Portland, CT | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.