Clinic
Gorgeous Smile PLLC
Gorgeous Smile PLLC was paid $81K by Medicaid between Aug 2020 and Aug 2024, across 16 billing codes. Its largest line is D4910, — 15% of everything it billed.
33Billing provider infoGORGEOUS SMILE PLLC
ARLINGTON, VA 22203
ARLINGTON, VA 22203
33aNPI1114412848assigned 06/25/2018
33bProvider typeDental Clinic/Center
28Total paid$81K
24GClaims5,700
24DCodes billed16
24AFirst – last monthAug 2020 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#70 of 142
Median peer was paid$75K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 42 | $521.03 | |
| 2021 | 245 | $5K | |
| 2022 | 1,435 | $37K | |
| 2023 | 2,109 | $38K | |
| 2024incomplete | 1,869 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4910 | 15% | 399 | 390 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 139 | 68 | $11K |
| D0274 | Bitewings - four radiographic images | 12% | 505 | 497 | $10K |
| D0330 | Panoramic radiographic image | 11% | 144 | 139 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 1,111 | 1,003 | $9K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 485 | 437 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 246 | 245 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 884 | 673 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 479 | 469 | $5K |
| D1110 | Prophylaxis - adult | 2.3% | 65 | 65 | $2K |
| D4355 | 1.3% | 13 | 12 | $1K | |
| D9994 | <1% | 490 | 482 | $673.84 |
4 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 officialAL-SALIM, AHMED (OWNER)