Clinic
Four Corners Dental Studio
Four Corners Dental Studio was paid $147K by Medicaid between Oct 2022 and Nov 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoFOUR CORNERS DENTAL STUDIO
BROOKFIELD, CT 06804
BROOKFIELD, CT 06804
33aNPI1871221606assigned 08/10/2022
33bProvider typeDental Clinic/Center
28Total paid$147K
24GClaims4,083
24DCodes billed14
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#45 of 78
Median peer was paid$192K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 123 | $4K | |
| 2023 | 2,173 | $81K | |
| 2024incomplete | 1,787 | $61K |
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 | 27% | 563 | 285 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 612 | 521 | $24K |
| D1110 | Prophylaxis - adult | 15% | 594 | 537 | $21K |
| D0274 | Bitewings - four radiographic images | 12% | 562 | 518 | $17K |
| D0330 | Panoramic radiographic image | 11% | 333 | 301 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 719 | 658 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 306 | 283 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 109 | 102 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 115 | 108 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 19 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 31 | 30 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | 13 | $1K |
2 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 officialKEDEM, ADI (OWNER)