Allen, Staci

Allen, Staci was paid $6K by Medicaid between Mar 2024 and Dec 2024, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 37% of everything it billed.

33Billing provider infoALLEN, STACI
AVON, CT 06001

33aNPI1982968848assigned 06/26/2012

33bProvider typePediatric Dentist

28Total paid$6K

24GClaims342

24DCodes billed7

24AFirst – last monthMar 2024 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#64 of 84

Median peer was paid$311K

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
2024incomplete	342	$6K

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	37%	24	12	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	32%	76	70	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	108	108	$1K
D0150	Comprehensive oral evaluation - new or established patient	14%	26	26	$828.10
D1120	Dental cleaning, childProphylaxis - child	0%	48	48	$0.00
D1208	Topical application of fluoride, excluding varnish	0%	46	46	$0.00
D0140	Limited oral evaluation - problem focused	0%	14	14	$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.