Dental
River Road Pediatric Dentistry, LLC
River Road Pediatric Dentistry, LLC was paid $480K by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoRIVER ROAD PEDIATRIC DENTISTRY, LLC
SHELTON, CT 06484
SHELTON, CT 06484
33aNPI1902426240assigned 04/16/2020
33bProvider typePediatric Dentist
28Total paid$480K
24GClaims11,825
24DCodes billed13
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#36 of 84
Median peer was paid$311K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 77 | $2K | |
| 2021 | 445 | $14K | |
| 2022 | 2,052 | $70K | |
| 2023 | 4,133 | $167K | |
| 2024incomplete | 5,118 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,880 | 2,741 | $121K |
| D1206 | Topical application of fluoride varnish | 15% | 2,784 | 2,650 | $74K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 771 | 430 | $73K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12% | 1,074 | 886 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,858 | 1,773 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 807 | 770 | $49K |
| D0272 | Bitewings - two radiographic images | 3.2% | 519 | 496 | $15K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 292 | 267 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 151 | 105 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 32 | 14 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 55 | 53 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 12 | $242.06 |
1 more codes
| D9911 | 0% | 589 | $0.00 |
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 officialRABINE, DUSTIN (OWNER)