Clinic
MGM Family Dental
MGM Family Dental was paid $5.62M by Medicaid between Apr 2018 and Apr 2023, across 32 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoMGM FAMILY DENTAL
BRIDGEPORT, CT 06610
BRIDGEPORT, CT 06610
33aNPI1821503210assigned 12/06/2017
33bProvider typeDental Clinic/Center
28Total paid$5.62M
24GClaims120,738
24DCodes billed32
24AFirst – last monthApr 2018 – Apr 2023
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#9 of 78
Median peer was paid$192K
This provider vs. median29×
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 | 10,118 | $401K | |
| 2019 | 33,067 | $1.39M | |
| 2020 | 22,660 | $904K | |
| 2021 | 18,533 | $918K | |
| 2022 | 24,668 | $1.33M | |
| 2023 | 11,692 | $681K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 8,909 | 4,300 | $669K |
| D2332 | 10% | 5,906 | 2,335 | $589K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.7% | 9,189 | 3,886 | $547K |
| D2335 | 9.5% | 4,221 | 2,142 | $535K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.9% | 3,506 | 2,061 | $329K |
| D2394 | 5.2% | 2,330 | 1,309 | $295K | |
| D1110 | Prophylaxis - adult | 4.3% | 7,166 | 6,979 | $240K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 7,203 | 5,504 | $235K |
| D2330 | 3.9% | 3,860 | 1,781 | $221K | |
| D0274 | Bitewings - four radiographic images | 3.4% | 6,322 | 6,218 | $191K |
| D1351 | Sealant - per tooth | 3.4% | 5,201 | 1,293 | $191K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 3,107 | 3,030 | $185K |
20 more codes
| D2331 | 3.1% | 2,318 | $174K | |
| D1120 | Dental cleaning, child | 3.1% | 4,008 | $173K |
| D7250 | 2.8% | 2,617 | $157K | |
| D0120 | Dental checkup, returning patient | 2.4% | 5,635 | $133K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 12,503 | $130K |
| D1206 | Topical application of fluoride varnish | 2.3% | 5,917 | $130K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 8,282 | $100K |
| D0330 | Panoramic radiographic image | 1.6% | 3,811 | $93K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 3,075 | $79K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 1,076 | $78K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.0% | 1,427 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,124 | $22K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 334 | $19K |
| D0272 | Bitewings - two radiographic images | <1% | 829 | $19K |
| D2140 | <1% | 303 | $15K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 13 | $6K |
| D2160 | <1% | 50 | $4K | |
| D2161 | <1% | 24 | $2K | |
| D0270 | <1% | 341 | $2K | |
| D1320 | <1% | 131 | $435.63 |
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 officialGHORBANI-MOGHADDAM, HAMED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ghorbani - Mohammadi Dental P.C. | Bridgeport, CT | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.