Dental
Connecticut Family Dental, INC
Connecticut Family Dental, INC was paid $939K by Medicaid between Jan 2018 and May 2021, across 21 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoCONNECTICUT FAMILY DENTAL, INC
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
33aNPI1750696399assigned 08/06/2010
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$939K
24GClaims24,936
24DCodes billed21
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Connecticut
Rank by total paid#17 of 94
Median peer was paid$188K
This provider vs. median5.0×
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 | 10,302 | $380K | |
| 2019 | 8,901 | $335K | |
| 2020 | 3,612 | $142K | |
| 2021 | 2,121 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 2,072 | 1,254 | $133K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,945 | 2,916 | $127K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,421 | 1,003 | $105K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,933 | 3,903 | $104K |
| D0210 | Intraoral - complete series of radiographic images | 9.2% | 1,350 | 1,322 | $86K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 2,933 | 2,902 | $80K |
| D1110 | Prophylaxis - adult | 7.0% | 2,031 | 2,007 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 1,156 | 1,126 | $56K |
| D0274 | Bitewings - four radiographic images | 5.3% | 1,628 | 1,621 | $50K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 1,318 | 1,280 | $36K |
| D1351 | Sealant - per tooth | 3.8% | 945 | 228 | $36K |
| D1206 | Topical application of fluoride varnish | 2.6% | 1,637 | 1,622 | $24K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,090 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 79 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 176 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 42 | $3K |
| D2330 | <1% | 58 | $3K | |
| D2335 | <1% | 20 | $2K | |
| D2394 | <1% | 15 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 14 | $943.08 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 73 | $800.87 |
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 officialMENDES, JACKSON (VICE-PRESIDENT)