Dental
Global Smiles Dental 12 LLC
Global Smiles Dental 12 LLC was paid $860.90 by Medicaid between Oct 2024 and Oct 2024, across 2 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 64% of everything it billed.
33Billing provider infoGLOBAL SMILES DENTAL 12 LLC
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
33aNPI1114757168assigned 08/05/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$860.90
24GClaims24
24DCodes billed2
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#641 of 723
Median peer was paid$60K
This provider vs. median0.0×
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 | 24 | $860.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 64% | 12 | 12 | $552.26 |
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 12 | 12 | $308.64 |
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 officialWHITE, TIA (CREDENTIALING ASSOCIATE)
| Provider | Location | Paid |
|---|---|---|
| Global Smiles Dental 9 LLC | Indianapolis, IN | $159K |
| Global Smiles Dental 10 LLC | Anderson, IN | $66K |
| Global Smiles Dental 11 LLC | Indianapolis, IN | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.