Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Live Oak › NPI 1104090943
Dental

Smile Designs By DR. Charlotte Gerry L/O

Smile Designs By DR. Charlotte Gerry L/O was paid $8K by Medicaid between Dec 2019 and Mar 2020, across 13 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 46% of everything it billed.

33Billing provider infoSMILE DESIGNS BY DR. CHARLOTTE GERRY L/O
LIVE OAK, FL 32064
33aNPI1104090943assigned 04/14/2008
28Total paid$8K
24GClaims712
24DCodes billed13
24AFirst – last monthDec 2019 – Mar 2020
Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#369 of 568
Median peer was paid$24K
This provider vs. median0.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201913$520.00
2020699$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0274 Bitewings - four radiographic images 46% 40 40 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 17% 44 14 $1K
D0272 Bitewings - two radiographic images 13% 14 14 $1K
D0150 Comprehensive oral evaluation - new or established patient 7.1% 69 69 $587.00
D1999 6.3% 13 13 $520.00
D0220 Intraoral - periapical first radiographic image 4.9% 92 92 $406.00
D1330 2.3% 90 90 $192.00
D1208 Topical application of fluoride, excluding varnish 1.7% 101 101 $137.00
D1120 Dental cleaning, childProphylaxis - child <1% 59 59 $76.00
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 16 16 $45.00
D0230 Intraoral - periapical each additional radiographic image <1% 81 80 $15.00
D1110 Prophylaxis - adult 0% 34 34 $0.00
1 more codes
D0330 Panoramic radiographic image 0% 59 $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 officialGERRY, CHARLOTTE (PRESIDENT)