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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSmilen Dental Group, P.C.
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    Smilen Dental Group, P.C. — Billing Profile & Reimbursement Data

    NPI 1720239361 · Wallingford, CT · Dentist

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    Smilen Dental Group, P.C. is a dentist provider located in Wallingford, Connecticut. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSmilen Dental Group, P.C.
    Address44 S Turnpike Rd
    CityWallingford
    StateCT
    ZIP06492
    TaxonomyDentist
    NPI EnumeratedOctober 1, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child8,430$40$337.4K
    D0120Periodic oral evaluation - established patient7,730$30$239.7K
    D2392Post 2 surface resin‑based composite1,790$100$173.7K
    D1208Topical application of fluoride - excluding varnish5,640$30$141K
    D8670N/A1,280$70$94.6K
    D0272N/A2,100$30$60.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,110$30$54.8K
    D9230N/A840$50$45.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)430$100$44.3K
    D2391Resin‑based composite – one surface, posterior450$80$35.2K

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Connecticut median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8670N/A881203,030$60$347.8K
    D2392Post 2 surface resin‑based composite97390620$80$144.8K
    D1120Prophylaxis–child53660570$40$120.7K
    D2391Resin‑based composite – one surface, posterior161330430$60$89.4K
    D9230N/A46110550$50$88.3K
    D0120Periodic oral evaluation - established patient63730700$30$80.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)91210370$70$79.3K
    D1351Sealant - per tooth83190580$30$70K
    D1208Topical application of fluoride - excluding varnish89560740$20$66.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients66300300$20$61.6K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Smilen Dental Group, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gaylord Hospital, Inc.CTLong Term Care Hospital$0$14.6M
    Masonicare Home Health And Hospice, Inc.CTHome Health Agency$0$13M
    Robinson PA, LLCCTInterventional Pain Medicine Physician$0$6.9M
    Town Of WallingfordCTLocal Education Agency (LEA)$0$3.9M
    Park Avenue MedicalCTInternal Medicine Physician$0$3.4M
    Wallingford Endoscopy Center, LLC.CTEndoscopy Clinic/Center$322.7K$1.8M
    Town Of WallingfordCTAmbulance$493.3K$1.6M
    Promptcare New England Respiratory, LLCCTOxygen Equipment & Supplies (DME)$0$1.8M
    The Promptcare Companies, Inc.CTDurable Medical Equipment & Medical Supplies$0$1.8M
    Meriden Imaging Center, Inc.CTDiagnostic Radiology Physician$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Smilen Dental Group, P.C. — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut