Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrilliant Smile Dental, P.C.
    Ask Trek AI about this page

    Brilliant Smile Dental, P.C. — Billing Profile & Reimbursement Data

    NPI 1912364860 · Meriden, CT · General Practice Dentistry

    Customize your policy alerts

    Sign up for Brilliant Smile Dental, P.C. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Brilliant Smile Dental, P.C. is a general practice dentistry provider located in Meriden, Connecticut. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBrilliant Smile Dental, P.C.
    Address725 E Main St
    CityMeriden
    StateCT
    ZIP06450
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 24, 2016

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…2,700$90$232.4K
    D0274N/A6,920$30$193.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,700$30$182.5K
    D0150Comprehensive oral evaluation – new or established patient6,050$30$169.3K
    D0140Limited oral evaluation – problem focused6,660$20$159.7K
    D1208Topical application of fluoride - excluding varnish7,440$20$133.8K
    D0220Intraoral - periapical first radiographic image12,920$10$129.2K
    D0330N/A3,070$40$122.9K
    D2392Post 2 surface resin‑based composite1,530$70$100.7K
    D0120Periodic oral evaluation - established patient4,060$20$89.4K

    Showing 1–10 of 26

    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

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D3330N/A194070$480$172.7K
    D7250N/A1640280$100$146.4K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…15140300$80$145.8K
    D2392Post 2 surface resin‑based composite111390620$80$144.8K
    D1120Prophylaxis–child189660570$40$120.7K
    D2391Resin‑based composite – one surface, posterior95330430$60$89.4K
    D0120Periodic oral evaluation - established patient144730700$30$80.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)123210370$70$79.3K
    D1351Sealant - per tooth129190580$30$70K
    D1208Topical application of fluoride - excluding varnish59560740$20$66.4K

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rushford Center, Inc.CTPsychologist$0$12.6M
    Meriden Board Of EducationCTLocal Education Agency (LEA)$0$5.2M
    Community Guidance Clinic For Central Connecticut, IncCTMental Health Counselor$0$5.1M
    Connecticut Oral & Maxillofacial Surgery Centers, LLCCTOral and Maxillofacial Surgery (Dentist)$0$4.5M
    Dental Group Of Meriden-wallingfordCTPediatric Dentistry$0$2.2M
    Gisela Sardinas Aprn LLCCTPsychiatric/Mental Health Registered Nurse$0$1.6M
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$64K$1.3M
    Connecticut Counseling Centers, Inc.CTAdult Mental Health Clinic/Center$0$1.1M
    Meriden Eye Care, LLCCTOptometrist$0$1.1M
    Hancock Pharmacy & Surgical, IncCTLong Term Care Pharmacy$6.4K$993.2K

    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
    Brilliant Smile Dental, P.C. — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut