Dental
Smile Dental, PC
Smile Dental, PC was paid $130K by Medicaid between Jan 2018 and Oct 2022, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoSMILE DENTAL, PC
REVERE, MA 02151
REVERE, MA 02151
33aNPI1053618140assigned 02/25/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$130K
24GClaims3,816
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#304 of 693
Median peer was paid$87K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2018 | 1,087 | $39K | |
| 2019 | 809 | $28K | |
| 2020 | 436 | $14K | |
| 2021 | 1,078 | $36K | |
| 2022 | 406 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 1,002 | 981 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 675 | 662 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 591 | 576 | $17K |
| D0274 | Bitewings - four radiographic images | 8.3% | 286 | 281 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 218 | 215 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 549 | 522 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 359 | 286 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 53 | 52 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 68 | 67 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 13 | $449.00 |
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 officialOSTROVSKY, BELLA (MANAGER)