Dental
Hartford Family Dentist LLC
Hartford Family Dentist LLC was paid $239K by Medicaid between Dec 2023 and Dec 2024, across 15 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoHARTFORD FAMILY DENTIST LLC
HARTFORD, CT 06106
HARTFORD, CT 06106
33aNPI1902683071assigned 09/12/2023
33bProvider typePublic Health Dentist
28Total paid$239K
24GClaims7,866
24DCodes billed15
24AFirst – last monthDec 2023 – Dec 2024
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 | |
|---|---|---|---|
| 2023 | 328 | $8K | |
| 2024incomplete | 7,538 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 23% | 873 | 300 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 749 | 322 | $52K |
| D1110 | Prophylaxis - adult | 9.1% | 635 | 537 | $22K |
| D0274 | Bitewings - four radiographic images | 8.5% | 723 | 636 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.4% | 199 | 70 | $15K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 628 | 467 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 607 | 542 | $13K |
| D1206 | Topical application of fluoride varnish | 5.3% | 741 | 633 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 1,343 | 665 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 1,154 | 877 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 41 | 27 | $4K |
| D2332 | 1.2% | 26 | 12 | $3K |
3 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 officialGHORBANIPARVAR, MOHAMMADREZA (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Supreme Dental, LLC | Stamford, CT | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.