Vital Smiles Alabama PC

Vital Smiles Alabama PC was paid $1.33M by Medicaid between Jan 2018 and Jul 2019, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 15% 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
2018	38,315	$946K
2019	14,491	$379K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	15%	7,801	7,643	$202K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	10,853	10,639	$182K
D1208	Topical application of fluoride, excluding varnish	13%	12,602	12,284	$173K
D2930	Prefabricated stainless steel crown - primary tooth	11%	1,670	822	$143K
D0330	Panoramic radiographic image	8.6%	2,692	2,616	$114K
D1110	Prophylaxis - adult	8.3%	3,381	3,305	$110K
D2150	Silver amalgam - two surfaces, primary or permanent	8.2%	1,984	1,216	$109K
D0272	Bitewings - two radiographic images	5.3%	4,354	4,258	$70K
D2140		4.7%	1,401	943	$63K
D0274	Bitewings - four radiographic images	3.4%	2,126	2,061	$45K
D7140	Extraction, erupted tooth or exposed root	1.9%	519	354	$25K
D2160		1.3%	243	168	$17K

8 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.2%	826	$16K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	<1%	31	$13K
D0220	Intraoral - periapical first radiographic image	<1%	1,155	$12K
D1351	Sealant - per tooth	<1%	391	$9K
D0140	Limited oral evaluation - problem focused	<1%	314	$9K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	96	$8K
D0145	Oral evaluation for a patient under three years of age	<1%	244	$5K
D0230	Intraoral - periapical each additional radiographic image	<1%	123	$1K

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 officialJOHNSON, GEORGE (PRESIDENT)