Signature Smiles, LLC

Signature Smiles, LLC was paid $276K by Medicaid between Jan 2018 and Nov 2020, across 20 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.

33Billing provider infoSIGNATURE SMILES, LLC
MANCHESTER, CT 06042

33aNPI1184093197assigned 09/20/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$276K

24GClaims9,125

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#134 of 431

Median peer was paid$79K

This provider vs. median3.5×

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	4,558	$160K
2019	1,393	$34K
2020	3,174	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	14%	721	212	$40K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	520	254	$39K
D0150	Comprehensive oral evaluation - new or established patient	13%	1,477	989	$37K
D1208	Topical application of fluoride, excluding varnish	11%	1,622	1,458	$29K
D1120	Dental cleaning, childProphylaxis - child	9.8%	707	648	$27K
D0274	Bitewings - four radiographic images	7.7%	779	694	$21K
D1110	Prophylaxis - adult	7.5%	826	716	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.3%	746	678	$17K
D0140	Limited oral evaluation - problem focused	5.1%	611	531	$14K
D0210	Intraoral - complete series of radiographic images	3.6%	250	230	$10K
D2950		1.5%	58	34	$4K
D0330	Panoramic radiographic image	1.1%	215	110	$3K

8 more codes

D7140	Extraction, erupted tooth or exposed root	1.0%	50	$3K
D0220	Intraoral - periapical first radiographic image	<1%	240	$2K
D1351	Sealant - per tooth	<1%	47	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	170	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	17	$1K
D2140		<1%	23	$1K
D0272	Bitewings - two radiographic images	<1%	29	$846.66
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	17	$839.80

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 officialRANGI, PUNEET (LLC MEMBER)