Adult and Pediatric Dental Care of Westport,llc

Adult and Pediatric Dental Care of Westport,llc was paid $4K by Medicaid between Jan 2018 and Feb 2018, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC
WESTPORT, CT 06880

33aNPI1891244950assigned 09/29/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims147

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#346 of 431

Median peer was paid$79K

This provider vs. median0.0×

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
2018	147	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	34	34	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	36	36	$763.70
D0274	Bitewings - four radiographic images	14%	15	15	$484.80
D0220	Intraoral - periapical first radiographic image	13%	37	20	$470.44
D1120	Dental cleaning, childProphylaxis - child	13%	13	13	$450.80
D0140	Limited oral evaluation - problem focused	8.4%	12	12	$299.52

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 officialFREEMAN, ADAM (PRESIDENT)