Dental
Beautiful Smile Dental Office INC
Beautiful Smile Dental Office INC was paid $433K by Medicaid between Apr 2019 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoBEAUTIFUL SMILE DENTAL OFFICE INC
MAYAGUEZ, PR 00682
MAYAGUEZ, PR 00682
33aNPI1144678947assigned 06/02/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$433K
24GClaims25,332
24DCodes billed14
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#78 of 551
Median peer was paid$99K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2019 | 2,994 | $42K | |
| 2020 | 3,256 | $51K | |
| 2021 | 6,777 | $108K | |
| 2022 | 3,348 | $62K | |
| 2023 | 2,497 | $42K | |
| 2024incomplete | 6,460 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 4,174 | 3,502 | $115K |
| D1999 | 18% | 5,325 | 4,283 | $78K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,533 | 3,065 | $51K |
| D0272 | Bitewings - two radiographic images | 8.7% | 2,599 | 2,135 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 1,636 | 1,259 | $38K |
| D0330 | Panoramic radiographic image | 6.3% | 910 | 709 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 1,688 | 1,456 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 2,734 | 1,060 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 1,093 | 945 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,305 | 1,167 | $10K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.0% | 186 | 137 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 115 | 111 | $2K |
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 officialDE JESUS-RIVERA, ZORIMA (MANAGER)