Dental
Healthy Smiles Nwi
Healthy Smiles Nwi was paid $128K by Medicaid between Mar 2018 and Sep 2024, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 45% of everything it billed.
33Billing provider infoHEALTHY SMILES NWI
GARY, IN 46403
GARY, IN 46403
33aNPI1003172008assigned 04/04/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$128K
24GClaims3,011
24DCodes billed11
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#276 of 723
Median peer was paid$60K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2018 | 572 | $4K | |
| 2019 | 1,220 | $75K | |
| 2020 | 618 | $31K | |
| 2021 | 138 | $4K | |
| 2022 | 166 | $5K | |
| 2023 | 224 | $7K | |
| 2024incomplete | 73 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 45% | 378 | 147 | $57K |
| D0140 | Limited oral evaluation - problem focused | 15% | 593 | 543 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 624 | 583 | $12K |
| D1110 | Prophylaxis - adult | 8.4% | 280 | 268 | $11K |
| D0274 | Bitewings - four radiographic images | 7.8% | 329 | 306 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 227 | 212 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 94 | 62 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 288 | 266 | $4K |
| D0330 | Panoramic radiographic image | 1.8% | 74 | 71 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 99 | 92 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 25 | 24 | $759.00 |
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.
From NPPES
Who's on the registration
Authorized officialCAIN, NICHOLAS (CEO)