Clinic
Friendly Smile Dental INC
Friendly Smile Dental INC was paid $5K by Medicaid between Apr 2024 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoFRIENDLY SMILE DENTAL INC
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
33aNPI1093298325assigned 09/12/2018
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims171
24DCodes billed6
24AFirst – last monthApr 2024 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#66 of 78
Median peer was paid$70K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 171 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 61 | 61 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 34% | 17 | 15 | $2K |
| D0274 | Bitewings - four radiographic images | 10% | 19 | 19 | $479.36 |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 21 | 21 | $382.40 |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 33 | 33 | $245.28 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 20 | 20 | $144.52 |
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 officialMARINCHENKO, ANDREW (DMD)