Dental
Lasting Smiles of Saybrook, LLC
Lasting Smiles of Saybrook, LLC was paid $3K by Medicaid between Dec 2019 and Aug 2020, across 5 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 43% of everything it billed.
33Billing provider infoLASTING SMILES OF SAYBROOK, LLC
OLD SAYBROOK, CT 06475
OLD SAYBROOK, CT 06475
33aNPI1952950735assigned 09/05/2019
33bProvider typePublic Health Dentist
28Total paid$3K
24GClaims99
24DCodes billed5
24AFirst – last monthDec 2019 – Aug 2020
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 | |
|---|---|---|---|
| 2019 | 13 | $432.64 | |
| 2020 | 86 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 43% | 23 | 14 | $1K |
| D1110 | Prophylaxis - adult | 38% | 37 | 37 | $1K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 13 | 12 | $321.60 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 12 | 12 | $250.60 |
| D1320 | 1.7% | 14 | 14 | $56.29 |
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 officialSOCARRAS, EFRAIN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Lasting Smiles of Prospect | Prospect, CT | $236K |
| Priceless Dental Care P.C. | Prospect, CT | $129K |
| A Shore Dental LLC | Old Saybrook, CT | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.