Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

South Mississippi Smiles Dentistry LLC

South Mississippi Smiles Dentistry LLC was paid $4.80M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.

33Billing provider infoSOUTH MISSISSIPPI SMILES DENTISTRY LLC
GULFPORT, MS 39503
33aNPI1174964530assigned 07/15/2013
28Total paid$4.80M
24GClaims175,274
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#6 of 379
Median peer was paid$78K
This provider vs. median62×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20181,825$53K
20192,931$68K
20203,191$60K
202129,513$816K
202237,895$1.11M
202348,235$1.39M
2024incomplete51,684$1.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 15% 24,260 23,349 $725K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 5,654 3,083 $627K
D1206 Topical application of fluoride varnish 11% 21,599 20,826 $541K
D1351 Sealant - per tooth 11% 18,582 3,118 $508K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.8% 13,901 13,292 $373K
D0150 Comprehensive oral evaluation - new or established patient 6.7% 7,341 7,179 $322K
D0330 Panoramic radiographic image 5.0% 4,280 4,158 $238K
D0272 Bitewings - two radiographic images 4.3% 10,591 10,212 $208K
D0230 Intraoral - periapical each additional radiographic image 4.0% 19,106 7,363 $193K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.5% 4,911 4,645 $166K
D0274 Bitewings - four radiographic images 3.5% 5,814 5,653 $166K
D2930 Prefabricated stainless steel crown - primary tooth 3.1% 1,138 305 $147K
13 more codes
D0220 Intraoral - periapical first radiographic image 2.6% 9,742 $126K
D0350 2.4% 3,950 $116K
D7140 Extraction, erupted tooth or exposed root 2.4% 1,496 $114K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.0% 1,163 $95K
D0145 Oral evaluation for a patient under three years of age <1% 1,180 $45K
D1208 Topical application of fluoride, excluding varnish <1% 2,122 $34K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 174 $24K
D0140 Limited oral evaluation - problem focused <1% 510 $21K
D0210 Intraoral - complete series of radiographic images <1% 66 $5K
D9248 <1% 84 $4K
D1110 Prophylaxis - adult <1% 69 $3K
D2331 <1% 20 $2K
D0603 0% 17,521 $0.00

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 officialZWICKY, TERESA (CREDENTIALING MANAGER)
Same official

Other billing entities under ZWICKY, TERESA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.