Dental
Smile Team PC
Smile Team PC was paid $71K by Medicaid between Dec 2023 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoSMILE TEAM PC
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1194319152assigned 02/21/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$71K
24GClaims3,654
24DCodes billed14
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#325 of 847
Median peer was paid$37K
This provider vs. median1.9×
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 | 327 | $5K | |
| 2024incomplete | 3,327 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 567 | 502 | $19K |
| D0274 | Bitewings - four radiographic images | 18% | 638 | 564 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 203 | 120 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 409 | 365 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 297 | 256 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 709 | 621 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 648 | 567 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 27 | 15 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 13 | 12 | $780.00 |
| D1320 | <1% | 29 | 29 | $521.91 | |
| D1206 | Topical application of fluoride varnish | <1% | 26 | 25 | $427.23 |
| D0601 | <1% | 28 | 27 | $250.00 |
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 officialDOESCHER, BANSI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Team PC | Philadelphia, PA | $530K |
| Smile Team PC | Philadelphia, PA | $125K |
| Smile Team | Upper Darby, PA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.