Dental
Smile Loft Gaithersburg LLC
Smile Loft Gaithersburg LLC was paid $8K by Medicaid between Mar 2023 and Oct 2024, across 8 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSMILE LOFT GAITHERSBURG LLC
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
33aNPI1154917904assigned 12/16/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims228
24DCodes billed8
24AFirst – last monthMar 2023 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#448 of 598
Median peer was paid$42K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 112 | $3K | |
| 2024incomplete | 116 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 18 | 13 | $2K |
| D1110 | Prophylaxis - adult | 22% | 33 | 27 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 30 | 25 | $1K |
| D0274 | Bitewings - four radiographic images | 12% | 43 | 39 | $938.73 |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 59 | 55 | $669.80 |
| D0330 | Panoramic radiographic image | 6.9% | 18 | 12 | $551.40 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 15 | 15 | $477.15 |
| D1206 | Topical application of fluoride varnish | 3.9% | 12 | 12 | $315.48 |
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 officialRAI, CHRISTINE (HR DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Smile Loft Glen Burnie LLC | Glen Burnie, MD | $522K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.