Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Franklin Medical Group, PC

Franklin Medical Group, PC was paid $13.48M by Medicaid between Jan 2018 and Apr 2022, across 192 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoFRANKLIN MEDICAL GROUP, PC
WATERBURY, CT 06706
33aNPI1780686964assigned 06/01/2005
33bProvider typeDentist
28Total paid$13.48M
24GClaims671,472
24DCodes billed192
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Dentist providers in Connecticut

Rank by total paid#1 of 153
Median peer was paid$41K
This provider vs. median326×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018178,274$2.89M
2019183,135$3.18M
2020134,840$2.93M
2021157,461$3.91M
202217,762$577K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39% 102,208 85,750 $5.22M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 51,761 43,337 $1.87M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.1% 9,841 7,177 $418K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.9% 6,500 2,079 $397K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.6% 3,901 3,534 $357K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.3% 4,518 3,794 $307K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.0% 12,752 5,723 $264K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 2,296 2,058 $239K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 1,970 1,888 $223K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.4% 4,280 3,299 $187K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.4% 56,684 44,123 $183K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.3% 3,822 3,421 $179K
180 more codes
99232 Hospital visit by a doctor, follow-up day 1.3% 8,221 $178K
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 4,920 $177K
99244 Office or other outpatient consultation, moderate to high complexity 1.3% 1,635 $175K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 1,467 $167K
99223 Prolong inpt eval add15 m 1.1% 2,981 $144K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.0% 2,783 $140K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 8,381 $133K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 5,460 $129K
90853 Group psychotherapy (other than of a multiple-family group) <1% 7,133 $127K
99203 Doctor's office visit, new patient (routine) <1% 3,098 $121K
99283 Emergency room visit (moderate) <1% 5,466 $120K
99205 Prolong outpt/office vis <1% 1,242 $114K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,180 $94K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,442 $93K
99239 Hospital discharge day management, more than 30 minutes <1% 3,003 $83K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 976 $83K
99222 Initial hospital care, per day, moderate complexity <1% 1,679 $71K
99443 <1% 1,695 $71K
99238 Hospital discharge day management, 30 minutes or less <1% 2,510 $65K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,275 $64K
99442 <1% 2,174 $59K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 537 $57K
76775 <1% 1,712 $57K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 448 $55K
93000 <1% 5,156 $51K
76830 Ultrasound, transvaginal <1% 838 $49K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 500 $48K
99308 Subsequent nursing facility care, per day, straightforward <1% 2,025 $48K
0002A <1% 1,253 $44K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 563 $44K
0001A <1% 1,417 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,411 $40K
99243 <1% 498 $40K
76642 <1% 820 $39K
99306 Prolong nursin fac eval 15m <1% 645 $38K
95811 <1% 418 $36K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 317 $33K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 556 $30K
19083 <1% 86 $27K
76819 Fetal biophysical profile; without non-stress testing <1% 442 $26K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,519 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,252 $22K
90674 <1% 1,778 $22K
99221 <1% 487 $20K
83655 <1% 1,670 $17K
99245 <1% 176 $16K
43775 <1% 25 $16K
90756 <1% 1,000 $15K
90792 Psychiatric diagnostic evaluation with medical services <1% 348 $14K
90834 Psychotherapy session, about 45 minutes <1% 255 $13K
99173 <1% 1,884 $13K
92551 <1% 2,159 $13K
96127 <1% 828 $13K
95816 <1% 550 $11K
99234 <1% 151 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 103 $10K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 25 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 122 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 569 $9K
51798 <1% 1,363 $8K
82962 <1% 4,740 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 156 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 569 $6K
93018 <1% 1,020 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 608 $5K
99220 <1% 97 $5K
95886 <1% 90 $5K
99497 <1% 600 $5K
99236 Prolong inpt eval add15 m <1% 26 $4K
94726 <1% 1,049 $4K
99401 <1% 188 $4K
99254 <1% 40 $4K
90837 Psychotherapy session, about an hour <1% 43 $4K
80305 <1% 553 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 324 $3K
0004A <1% 108 $3K
90686 <1% 4,092 $3K
99483 Prolong outpt/office vis <1% 90 $3K
99406 <1% 316 $3K
93016 <1% 371 $3K
D0145 Oral evaluation for a patient under three years of age <1% 123 $3K
36415 Collection of venous blood by venipuncture <1% 992 $3K
90688 <1% 265 $3K
D1206 Topical application of fluoride varnish <1% 127 $3K
94729 <1% 1,012 $3K
81025 <1% 527 $2K
99386 <1% 16 $2K
59025 Fetal non-stress test <1% 49 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 61 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 125 $2K
99255 <1% 18 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 604 $2K
90670 <1% 1,251 $2K
93296 <1% 130 $2K
95812 <1% 32 $2K
95911 <1% 15 $1K
95910 <1% 28 $1K
99307 <1% 67 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 123 $1K
43259 <1% 13 $985.87
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 779 $977.36
93227 <1% 74 $932.11
90715 <1% 37 $922.42
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 72 $857.50
99385 <1% 12 $831.00
20610 <1% 36 $808.67
94060 <1% 191 $736.20
99464 <1% 24 $691.92
81003 <1% 2,380 $634.92
94760 <1% 401 $629.14
99252 <1% 13 $590.33
99498 <1% 72 $588.27
D1120 Dental cleaning, child <1% 17 $555.42
11721 <1% 120 $544.97
99304 <1% 12 $513.36
99219 <1% 14 $511.60
94010 <1% 186 $476.28
99441 <1% 416 $418.65
94664 <1% 39 $358.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 13 $337.51
D0120 Dental checkup, returning patient <1% 15 $312.90
96375 Therapeutic injection; each additional sequential IV push <1% 22 $267.58
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 26 $239.68
99318 <1% 14 $205.49
11056 <1% 27 $171.00
J1030 Injection, methylprednisolone acetate, 40 mg <1% 48 $163.06
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 218 $162.01
95251 <1% 13 $148.06
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 52 $117.05
82274 <1% 14 $109.61
86580 <1% 18 $106.42
93040 <1% 19 $33.48
G0008 Administration of influenza virus vaccine <1% 41 $12.84
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 39 $5.98
90681 <1% 149 $0.01
90685 <1% 58 $0.01
G8783 Normal blood pressure reading documented, follow-up not required 0% 68,281 $0.00
4004F 0% 1,806 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 17,823 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 20,841 $0.00
90461 0% 1,997 $0.00
90633 0% 123 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 1,223 $0.00
G8482 Influenza immunization administered or previously received 0% 1,555 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 464 $0.00
3046F 0% 44 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 419 $0.00
91300 0% 2,776 $0.00
90734 0% 44 $0.00
2022F 0% 294 $0.00
90648 0% 40 $0.00
3045F 0% 140 $0.00
3021F 0% 26 $0.00
99072 0% 37 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 16 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 45,165 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 4,554 $0.00
1036F 0% 55,402 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 5,810 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 22,876 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 2,048 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 1,411 $0.00
90723 0% 24 $0.00
3017F 0% 10,156 $0.00
90698 0% 695 $0.00
3044F 0% 173 $0.00
3014F 0% 442 $0.00
3061F 0% 776 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 53 $0.00
64615 0% 29 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 52 $0.00
1111F 0% 32 $0.00
G8708 Patient not prescribed antibiotic 0% 177 $0.00
90744 0% 42 $0.00
0500F 0% 29 $0.00
0501F 0% 13 $0.00
90697 0% 16 $0.00
91305 0% 24 $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 officialSCHNEIDER, STEVEN (PRESIDENT)