Dental
Dental Team of South Windsor
Dental Team of South Windsor was paid $55K by Medicaid between May 2021 and Mar 2023, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.
33Billing provider infoDENTAL TEAM OF SOUTH WINDSOR
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
33aNPI1881279404assigned 03/15/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$55K
24GClaims2,079
24DCodes billed11
24AFirst – last monthMay 2021 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#240 of 431
Median peer was paid$79K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 814 | $20K | |
| 2022 | 1,129 | $31K | |
| 2023 | 136 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 591 | 422 | $17K |
| D1110 | Prophylaxis - adult | 18% | 317 | 299 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 486 | 454 | $9K |
| D0274 | Bitewings - four radiographic images | 10% | 200 | 189 | $6K |
| D0140 | Limited oral evaluation - problem focused | 9.1% | 204 | 183 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 68 | 60 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 67 | 66 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 33 | 29 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 81 | 71 | $793.84 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 18 | 12 | $732.72 |
| D0330 | Panoramic radiographic image | 1.3% | 14 | 14 | $713.40 |
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 officialAIGUIER, DIANE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Worcester Dental Smiles | Worcester, MA | $466K |
| Dental Smiles of Hartford, PLLC | Hartford, CT | $456K |
| Dental Team of Worcester LLC | Worcester, MA | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.