Clinic
About Smiles Dental, LLC
About Smiles Dental, LLC was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoABOUT SMILES DENTAL, LLC
FARGO, ND 58104
FARGO, ND 58104
33aNPI1184061582assigned 05/27/2013
33bProvider typeDental Clinic/Center
28Total paid$1.71M
24GClaims38,266
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#4 of 45
Median peer was paid$17K
This provider vs. median98×
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 | |
|---|---|---|---|
| 2018 | 5,491 | $247K | |
| 2019 | 3,884 | $158K | |
| 2020 | 2,690 | $116K | |
| 2021 | 4,876 | $228K | |
| 2022 | 6,635 | $304K | |
| 2023 | 8,070 | $318K | |
| 2024incomplete | 6,620 | $334K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,703 | 1,361 | $285K |
| D1110 | Prophylaxis - adult | 11% | 3,863 | 3,572 | $187K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.7% | 1,951 | 1,042 | $166K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 4,447 | 4,147 | $158K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 5,841 | 5,431 | $154K |
| D0330 | Panoramic radiographic image | 8.4% | 2,292 | 2,123 | $143K |
| D0274 | Bitewings - four radiographic images | 7.6% | 3,735 | 3,459 | $130K |
| D1206 | Topical application of fluoride varnish | 7.0% | 5,168 | 4,708 | $119K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 2,631 | 2,483 | $111K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.5% | 699 | 391 | $60K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 2,241 | 2,179 | $51K |
| D2140 | 2.4% | 580 | 326 | $40K |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 222 | $30K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 718 | $26K |
| D0272 | Bitewings - two radiographic images | <1% | 552 | $15K |
| D2160 | <1% | 90 | $10K | |
| D2331 | <1% | 65 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 76 | $5K |
| D1351 | Sealant - per tooth | <1% | 170 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 153 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 41 | $680.70 |
| D8660 | <1% | 14 | $467.88 | |
| D1999 | 0% | 14 | $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 officialSAMPSON, SVETLANA (OWNER)