Dental
TSM1 LLC
TSM1 LLC was paid $4K by Medicaid between Jan 2018 and Feb 2018, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 46% of everything it billed.
33Billing provider infoTSM1 LLC
OXFORD, CT 06478
OXFORD, CT 06478
33aNPI1942658869assigned 06/01/2016
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$4K
24GClaims125
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Connecticut
Rank by total paid#73 of 94
Median peer was paid$188K
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 | 125 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 46% | 47 | 44 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 47 | 42 | $1K |
| D1206 | Topical application of fluoride varnish | 20% | 31 | 30 | $824.18 |
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 officialKEST, STEPHEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Spot LLC | Southbury, CT | $1.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.