Dental
Tiny Teeth General Dentistry LLC
Tiny Teeth General Dentistry LLC was paid $2.50M by Medicaid between Jan 2018 and Jan 2023, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoTINY TEETH GENERAL DENTISTRY LLC
BRISTOL, CT 06010
BRISTOL, CT 06010
33aNPI1831415405assigned 04/08/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$2.50M
24GClaims62,636
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#18 of 431
Median peer was paid$79K
This provider vs. median32×
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 | 9,301 | $329K | |
| 2019 | 11,376 | $422K | |
| 2020 | 9,098 | $369K | |
| 2021 | 15,433 | $644K | |
| 2022 | 17,196 | $723K | |
| 2023 | 232 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 13,722 | 13,553 | $578K |
| D1206 | Topical application of fluoride varnish | 14% | 13,445 | 13,247 | $356K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 10,794 | 10,645 | $345K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 2,584 | 1,546 | $253K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.4% | 2,564 | 1,520 | $211K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 2,396 | 2,367 | $145K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 2,508 | 2,366 | $138K |
| D0272 | Bitewings - two radiographic images | 5.1% | 4,373 | 4,325 | $127K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 1,060 | 545 | $112K |
| D1351 | Sealant - per tooth | 3.4% | 2,356 | 792 | $84K |
| D0330 | Panoramic radiographic image | 1.8% | 583 | 575 | $44K |
| D1354 | 1.3% | 3,224 | 894 | $33K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,795 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 735 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 210 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 210 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 48 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | $824.18 |
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 officialMOTYKA, JAMIE (OWNER)