Dental
Dynamic Smile Dental PLLC
Dynamic Smile Dental PLLC was paid $147K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoDYNAMIC SMILE DENTAL PLLC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1073987301assigned 11/24/2015
33bProvider typeDentist
28Total paid$147K
24GClaims6,480
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#519 of 1,649
Median peer was paid$49K
This provider vs. median3.0×
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 | 504 | $13K | |
| 2019 | 1,002 | $22K | |
| 2020 | 600 | $11K | |
| 2021 | 1,550 | $36K | |
| 2022 | 1,014 | $22K | |
| 2023 | 1,023 | $23K | |
| 2024incomplete | 787 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 1,544 | 1,537 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 995 | 989 | $23K |
| D0274 | Bitewings - four radiographic images | 15% | 1,005 | 1,004 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 1,262 | 1,254 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 1,104 | 1,101 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 37 | 25 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 99 | 98 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 149 | 149 | $3K |
| D1999 | 0% | 242 | 205 | $0.00 | |
| D0707 | 0% | 14 | 13 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 29 | 24 | $0.00 |
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 officialLEE, DIANA (SOLE PROPRIETOR)
| Provider | Location | Paid |
|---|---|---|
| Brian Citro MD PC | Las Vegas, NV | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.