Dental
Smile and Shine Dental, LLC
Smile and Shine Dental, LLC was paid $238K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoSMILE AND SHINE DENTAL, LLC
WATERBURY, CT 06705
WATERBURY, CT 06705
33aNPI1093161234assigned 05/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$238K
24GClaims8,361
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#144 of 431
Median peer was paid$79K
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 | 2,029 | $61K | |
| 2019 | 3,896 | $118K | |
| 2020 | 2,436 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 846 | 782 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,524 | 1,418 | $31K |
| D0274 | Bitewings - four radiographic images | 12% | 945 | 867 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 647 | 587 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 318 | 167 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 990 | 914 | $23K |
| D1110 | Prophylaxis - adult | 8.6% | 677 | 633 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 208 | 98 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 1,055 | 965 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 890 | 677 | $10K |
| D1351 | Sealant - per tooth | 1.4% | 104 | 24 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 126 | 119 | $3K |
2 more codes
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 officialSIKKA, VIKAS (MANAGER)