Dental
Unique Smile Dental Clinic LLC
Unique Smile Dental Clinic LLC was paid $82K by Medicaid between Aug 2024 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoUNIQUE SMILE DENTAL CLINIC LLC
ANASCO, PR 00610
ANASCO, PR 00610
33aNPI1164206660assigned 08/24/2023
33bProvider typePublic Health Dentist
28Total paid$82K
24GClaims3,896
24DCodes billed9
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Puerto Rico
Rank by total paid#4 of 6
Median peer was paid$82K
This provider vs. median1.0×
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 | 3,896 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 694 | 477 | $24K |
| D1999 | 19% | 1,119 | 735 | $16K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 674 | 464 | $11K |
| D0330 | Panoramic radiographic image | 11% | 274 | 175 | $9K |
| D0272 | Bitewings - two radiographic images | 8.5% | 442 | 293 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 287 | 179 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 168 | 101 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.1% | 77 | 30 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 161 | 95 | $3K |
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 officialSUAREZ, CINDY (DENTIST)