Dental
Clear Smile Dental Studio PLLC
Clear Smile Dental Studio PLLC was paid $288K by Medicaid between Jul 2020 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoCLEAR SMILE DENTAL STUDIO PLLC
STAMFORD, CT 06902
STAMFORD, CT 06902
33aNPI1154952513assigned 02/03/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$288K
24GClaims10,697
24DCodes billed16
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#131 of 431
Median peer was paid$79K
This provider vs. median3.6×
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 | 427 | $10K | |
| 2021 | 1,153 | $30K | |
| 2022 | 2,385 | $54K | |
| 2023 | 3,237 | $85K | |
| 2024incomplete | 3,495 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,276 | 1,244 | $47K |
| D0140 | Limited oral evaluation - problem focused | 12% | 1,189 | 1,106 | $35K |
| D0330 | Panoramic radiographic image | 12% | 648 | 621 | $34K |
| D0274 | Bitewings - four radiographic images | 10% | 948 | 926 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 705 | 667 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 2,146 | 1,969 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 1,089 | 1,041 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.6% | 157 | 83 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 624 | 613 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 1,289 | 1,204 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 175 | 164 | $9K |
| D1206 | Topical application of fluoride varnish | 2.2% | 336 | 325 | $6K |
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 officialPARK, BYUNG CHUL (OWNER)