Clinic
Divine Smiles PC
Divine Smiles PC was paid $390K by Medicaid between Jun 2023 and Dec 2024, across 20 billing codes. Its largest line is D0330, Panoramic radiographic image — 13% of everything it billed.
33Billing provider infoDIVINE SMILES PC
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
33aNPI1184328551assigned 03/29/2023
33bProvider typeDental Clinic/Center
28Total paid$390K
24GClaims13,361
24DCodes billed20
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#34 of 78
Median peer was paid$192K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2023 | 3,715 | $106K | |
| 2024incomplete | 9,646 | $284K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 13% | 920 | 893 | $50K |
| D0140 | Limited oral evaluation - problem focused | 12% | 1,597 | 1,422 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,382 | 1,093 | $42K |
| D0274 | Bitewings - four radiographic images | 10% | 1,385 | 1,349 | $39K |
| D2332 | 8.3% | 325 | 102 | $32K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.3% | 258 | 161 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 3,024 | 1,520 | $32K |
| D1110 | Prophylaxis - adult | 7.2% | 753 | 727 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 2,091 | 1,987 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 1,033 | 987 | $19K |
| D2954 | 4.5% | 137 | 87 | $18K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 132 | 77 | $12K |
8 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 83 | $5K |
| D2330 | <1% | 48 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 93 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $1K |
| D1120 | Dental cleaning, child | <1% | 14 | $586.04 |
| D2940 | <1% | 16 | $392.25 | |
| D0270 | <1% | 13 | $77.42 |
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 officialADINYAGUEV, SHANDE (OWNER)