Delivering Smiles INC.

Delivering Smiles INC. was paid $378K by Medicaid between May 2021 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

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
2021	1,141	$52K
2022	2,298	$108K
2023	2,343	$106K
2024incomplete	2,484	$112K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	1,441	1,439	$129K
D4355		22%	781	779	$82K
D9410		19%	2,535	2,350	$71K
D1206	Topical application of fluoride varnish	12%	2,346	2,323	$44K
D1120	Dental cleaning, childProphylaxis - child	7.8%	563	562	$29K
D1310		3.7%	305	305	$14K
D1351	Sealant - per tooth	<1%	88	25	$3K
D9920		<1%	21	21	$3K
D0602		<1%	130	130	$2K
D0603		<1%	56	56	$825.00

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 officialGONZALES, RHODA (OWNER)