Dental
Simsbury Pediatric & Adolescent Dentistry, LLC
Simsbury Pediatric & Adolescent Dentistry, LLC was paid $241K by Medicaid between Jan 2018 and Mar 2023, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoSIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
WEATOGUE, CT 06089
WEATOGUE, CT 06089
33aNPI1922122332assigned 03/19/2007
33bProvider typePediatric Dentist
28Total paid$241K
24GClaims7,224
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#47 of 84
Median peer was paid$311K
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 | |
|---|---|---|---|
| 2018 | 1,639 | $56K | |
| 2019 | 1,652 | $56K | |
| 2020 | 1,222 | $38K | |
| 2021 | 1,325 | $44K | |
| 2022 | 1,146 | $39K | |
| 2023 | 240 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 2,312 | 2,255 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 2,189 | 2,132 | $69K |
| D1206 | Topical application of fluoride varnish | 13% | 1,145 | 1,116 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 856 | 838 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 162 | 152 | $9K |
| D0272 | Bitewings - two radiographic images | 2.7% | 222 | 220 | $6K |
| D0274 | Bitewings - four radiographic images | 1.4% | 78 | 78 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 139 | 133 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 68 | 41 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $700.70 |
| D1999 | 0% | 16 | 16 | $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 officialAZADPUR, MARYAM (DENTIST, OWNER)