PEDIATRIC DENTISTRY OF LITCHFIELD COUNTY, LLC
NPI: 1972721876
· TORRINGTON, CT 06790
· Pediatric Dentist
· NPI assigned 04/23/2007
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, LAWRENCE (MEMBER) |
| NPI Enumeration Date | 04/23/2007 |
Related Entities
Other providers sharing the same authorized official: LEE, LAWRENCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,848 |
$289K |
| 2019 |
7,103 |
$260K |
| 2020 |
4,109 |
$141K |
| 2021 |
5,400 |
$187K |
| 2022 |
5,132 |
$184K |
| 2023 |
6,028 |
$225K |
| 2024 |
4,894 |
$178K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
11,084 |
10,960 |
$477K |
| D0120 |
Periodic oral evaluation - established patient |
10,203 |
10,089 |
$334K |
| D1206 |
Topical application of fluoride varnish |
10,755 |
10,632 |
$292K |
| D1351 |
Sealant - per tooth |
3,156 |
806 |
$108K |
| D0272 |
Bitewings - two radiographic images |
3,220 |
3,185 |
$97K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
644 |
436 |
$64K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
762 |
474 |
$64K |
| D0140 |
Limited oral evaluation - problem focused |
276 |
271 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
189 |
185 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
212 |
204 |
$4K |
| D1354 |
|
13 |
13 |
$0.00 |