Dental
Farmington 1067 LLC
Farmington 1067 LLC was paid $51K by Medicaid between Oct 2023 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoFARMINGTON 1067 LLC
BERLIN, CT 06037
BERLIN, CT 06037
33aNPI1831878487assigned 07/12/2023
33bProvider typePediatric Dentist
28Total paid$51K
24GClaims1,310
24DCodes billed13
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#55 of 84
Median peer was paid$311K
This provider vs. median0.2×
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 | 173 | $6K | |
| 2024incomplete | 1,137 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 274 | 265 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 181 | 173 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 95 | 37 | $10K |
| D1206 | Topical application of fluoride varnish | 11% | 212 | 204 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 201 | 174 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 86 | 84 | $3K |
| D0330 | Panoramic radiographic image | 3.9% | 28 | 27 | $2K |
| D0274 | Bitewings - four radiographic images | 3.8% | 55 | 52 | $2K |
| D0272 | Bitewings - two radiographic images | 2.4% | 46 | 44 | $1K |
| D0240 | 2.3% | 77 | 71 | $1K | |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 25 | 24 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 16 | 14 | $921.00 |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $388.31 |
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 officialSEIGNEMARTIN, HISAKO (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| DRS Chen and Seignemartin LLC | Hamden, CT | $2.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.