Clinic
A Perfect Smile
A Perfect Smile was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoA PERFECT SMILE
PRICE, UT 84501
PRICE, UT 84501
33aNPI1114314747assigned 04/21/2015
33bProvider typeDental Clinic/Center
28Total paid$1.04M
24GClaims34,748
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#7 of 37
Median peer was paid$90K
This provider vs. median12×
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 | 9,258 | $270K | |
| 2019 | 2,507 | $75K | |
| 2020 | 3,396 | $107K | |
| 2021 | 5,721 | $169K | |
| 2022 | 6,587 | $218K | |
| 2023 | 3,724 | $95K | |
| 2024incomplete | 3,555 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 3,017 | 2,958 | $400K |
| D0140 | Limited oral evaluation - problem focused | 16% | 1,747 | 1,654 | $168K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 6,203 | 5,743 | $122K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.2% | 1,133 | 626 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 245 | 241 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 10,424 | 4,058 | $35K |
| D0274 | Bitewings - four radiographic images | 3.1% | 3,800 | 3,720 | $33K |
| D2740 | Crown - porcelain/ceramic | 2.8% | 51 | 25 | $29K |
| D0330 | Panoramic radiographic image | 2.3% | 130 | 130 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 267 | 155 | $21K |
| D2140 | 1.8% | 459 | 290 | $19K | |
| D1110 | Prophylaxis - adult | 1.6% | 1,124 | 1,091 | $17K |
15 more codes
| D1351 | Sealant - per tooth | 1.5% | 677 | $15K |
| D1206 | Topical application of fluoride varnish | <1% | 2,118 | $10K |
| D1120 | Dental cleaning, child | <1% | 1,867 | $10K |
| D2160 | <1% | 130 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 97 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 27 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 70 | $4K |
| D2950 | <1% | 38 | $4K | |
| D2331 | <1% | 69 | $3K | |
| D0470 | <1% | 40 | $2K | |
| D9248 | <1% | 12 | $2K | |
| D0603 | 0% | 438 | $0.00 | |
| D9211 | 0% | 524 | $0.00 | |
| D7111 | 0% | 25 | $0.00 | |
| D0350 | 0% | 16 | $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 officialJACKSON, MARVIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The River's Edge Dental | Coolidge, AZ | $12K |
| Good Life Dental | Queen Creek, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.