Pediatric Dental Assoc P.C.

Pediatric Dental Assoc P.C. was paid $703K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL ASSOC P.C.
MANCHESTER, CT 06042

33aNPI1851329510assigned 06/29/2006

33bProvider typePediatric Dentist

28Total paid$703K

24GClaims23,403

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#29 of 84

Median peer was paid$311K

This provider vs. median2.3×

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	3,635	$106K
2019	3,684	$111K
2020	2,391	$74K
2021	3,204	$97K
2022	3,747	$109K
2023	3,587	$109K
2024incomplete	3,155	$98K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	7,114	6,849	$279K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	7,725	7,330	$215K
D1208	Topical application of fluoride, excluding varnish	26%	7,841	7,442	$181K
D8670	Periodic orthodontic treatment visit	2.2%	193	193	$15K
D0272	Bitewings - two radiographic images	1.2%	325	314	$8K
D0274	Bitewings - four radiographic images	<1%	70	69	$3K
D1351	Sealant - per tooth	<1%	34	13	$1K
D1110	Prophylaxis - adult	<1%	101	89	$798.72

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 officialPERKINS, EILEEN (OFFICE MANAGER)