Dental
Crest Family Dental, LLC
Crest Family Dental, LLC was paid $74K by Medicaid between Mar 2023 and Nov 2024, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 65% of everything it billed.
33Billing provider infoCREST FAMILY DENTAL, LLC
HARTFORD, CT 06106
HARTFORD, CT 06106
33aNPI1699185264assigned 05/05/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$74K
24GClaims1,378
24DCodes billed5
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#221 of 431
Median peer was paid$79K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 796 | $34K | |
| 2024incomplete | 582 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 65% | 566 | 233 | $48K |
| D0140 | Limited oral evaluation - problem focused | 18% | 440 | 425 | $13K |
| D0330 | Panoramic radiographic image | 11% | 289 | 216 | $8K |
| D7230 | 5.8% | 69 | 26 | $4K | |
| D9310 | <1% | 14 | 12 | $243.10 |
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 officialSHIVAREDDY, SHYAM (MANAGER)