Dental
Affordable Smiles of Gretna, LLC
Affordable Smiles of Gretna, LLC was paid $208K by Medicaid between Oct 2020 and Aug 2024, across 11 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 27% of everything it billed.
33Billing provider infoAFFORDABLE SMILES OF GRETNA, LLC
GRETNA, LA 70056
GRETNA, LA 70056
33aNPI1023674777assigned 05/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$208K
24GClaims9,353
24DCodes billed11
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#139 of 412
Median peer was paid$83K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2020 | 139 | $3K | |
| 2021 | 1,614 | $33K | |
| 2022 | 1,233 | $34K | |
| 2023 | 5,156 | $117K | |
| 2024incomplete | 1,211 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 27% | 2,329 | 1,250 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 2,518 | 1,360 | $53K |
| D0330 | Panoramic radiographic image | 15% | 1,885 | 1,001 | $31K |
| D1110 | Prophylaxis - adult | 12% | 1,039 | 567 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.8% | 478 | 127 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 240 | 76 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 164 | 65 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 331 | 187 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 188 | 88 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 96 | 40 | $434.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 85 | 25 | $183.40 |
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 officialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Affordable Smiles of Hammond, LLC | Hammond, LA | $213K |
| Affordable Smiles of Baton Rouge, LLC | Baton Rouge, LA | $191K |
| Affordable Smiles of Metairie, LLC | Metairie, LA | $131K |
| Exceptional Dental of Watson, LLC | Denham Springs, LA | $81K |
| Exceptional Dental of Uptown, LLC | New Orleans, LA | $18K |
| Affordable Smiles of Mandeville, LLC | Mandeville, LA | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.