Dental
Advance Smile Dental Creator LLC
Advance Smile Dental Creator LLC was paid $739K by Medicaid between Oct 2019 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoADVANCE SMILE DENTAL CREATOR LLC
EMMAUS, PA 18049
EMMAUS, PA 18049
33aNPI1174994941assigned 10/19/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$739K
24GClaims30,195
24DCodes billed21
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#39 of 847
Median peer was paid$37K
This provider vs. median20×
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 | 12 | $269.45 | |
| 2021 | 740 | $15K | |
| 2022 | 44 | $1K | |
| 2023 | 126 | $2K | |
| 2024incomplete | 29,273 | $720K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 3,382 | 3,353 | $119K |
| D9920 | 14% | 1,041 | 996 | $101K | |
| D0274 | Bitewings - four radiographic images | 12% | 3,407 | 3,378 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 2,829 | 2,820 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 867 | 598 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 812 | 478 | $42K |
| D1351 | Sealant - per tooth | 5.5% | 1,437 | 273 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,492 | 1,470 | $38K |
| D1206 | Topical application of fluoride varnish | 4.6% | 1,852 | 1,849 | $34K |
| D0330 | Panoramic radiographic image | 3.8% | 785 | 779 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 853 | 852 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 3,373 | 3,304 | $25K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 2,851 | $21K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 440 | $18K |
| D1330 | 1.9% | 1,813 | $14K | |
| D1310 | 1.8% | 1,771 | $14K | |
| D0601 | <1% | 753 | $5K | |
| D0602 | <1% | 332 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $847.05 |
| D0272 | Bitewings - two radiographic images | <1% | 35 | $555.36 |
| D0603 | <1% | 57 | $320.00 |
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 officialNADA, HARESH (MEMBER)