Dental
Gorgeous Smiles Dental Southington
Gorgeous Smiles Dental Southington was paid $80K by Medicaid between Nov 2023 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoGORGEOUS SMILES DENTAL SOUTHINGTON
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1831966936assigned 12/08/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$80K
24GClaims3,314
24DCodes billed15
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#214 of 431
Median peer was paid$79K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 357 | $6K | |
| 2024incomplete | 2,957 | $74K |
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 | 19% | 326 | 105 | $15K |
| D1110 | Prophylaxis - adult | 12% | 369 | 248 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 302 | 69 | $9K |
| D0140 | Limited oral evaluation - problem focused | 11% | 444 | 267 | $8K |
| D0274 | Bitewings - four radiographic images | 8.8% | 284 | 221 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 369 | 284 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 7.6% | 192 | 43 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.6% | 83 | 28 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 67 | 27 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 215 | 141 | $3K |
| D0330 | Panoramic radiographic image | 3.6% | 181 | 93 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 303 | 191 | $2K |
3 more codes
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 officialBELISLE, RAYMOND (CHIEF OPERATING OFFICER)
Parent organizationGORGEOUS SMILES SOUTHINGTON
| Provider | Location | Paid |
|---|---|---|
| Gorgeous Smiles Dental Hartford | Hartford, CT | $147K |
| Gorgeous Smiles Dental, PC | Manchester, CT | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.