Dental
Dental Galleria of Beautiful Smiles PC
Dental Galleria of Beautiful Smiles PC was paid $236K by Medicaid between Jan 2018 and Apr 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoDENTAL GALLERIA OF BEAUTIFUL SMILES PC
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
33aNPI1063685345assigned 04/08/2008
33bProvider typeDentist
28Total paid$236K
24GClaims8,857
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#112 of 415
Median peer was paid$47K
This provider vs. median5.0×
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 | 2,695 | $67K | |
| 2019 | 2,335 | $57K | |
| 2020 | 1,308 | $30K | |
| 2021 | 568 | $16K | |
| 2022 | 689 | $19K | |
| 2023 | 886 | $33K | |
| 2024incomplete | 376 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,837 | 1,778 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 2,169 | 2,101 | $49K |
| D1110 | Prophylaxis - adult | 19% | 761 | 744 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,049 | 1,004 | $44K |
| D0274 | Bitewings - four radiographic images | 4.7% | 515 | 493 | $11K |
| D1351 | Sealant - per tooth | 3.4% | 241 | 48 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 610 | 587 | $5K |
| D1330 | 2.2% | 859 | 831 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 72 | 67 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 493 | 481 | $3K |
| D0272 | Bitewings - two radiographic images | 1.2% | 190 | 183 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | 15 | $2K |
1 more codes
| D3120 | <1% | 41 | $1K |
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 officialBROCK, JOHNETTE (PRESIDENT)