Stafford Dental Associates LLC

Stafford Dental Associates LLC was paid $8K by Medicaid between Apr 2018 and Aug 2022, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 69% of everything it billed.

33Billing provider infoSTAFFORD DENTAL ASSOCIATES LLC
STAFFORD SPRINGS, CT 06076

33aNPI1922179340assigned 11/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims212

24DCodes billed3

24AFirst – last monthApr 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#319 of 431

Median peer was paid$79K

This provider vs. median0.1×

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	98	$4K
2019	62	$2K
2020	13	$586.04
2021	24	$882.00
2022	15	$586.04

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	69%	131	126	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	69	66	$2K
D1206	Topical application of fluoride varnish	4.2%	12	12	$341.04

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 officialDANIELS, FREDERICK (MEMBER)