Dental
Simple Smile Dental LLC
Simple Smile Dental LLC was paid $215K by Medicaid between Aug 2024 and Dec 2024, across 17 billing codes. Its largest line is D2750, — 20% of everything it billed.
33Billing provider infoSIMPLE SMILE DENTAL LLC
CATONSVILLE, MD 21228
CATONSVILLE, MD 21228
33aNPI1194569640assigned 06/20/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$215K
24GClaims3,134
24DCodes billed17
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#158 of 598
Median peer was paid$42K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2024incomplete | 3,134 | $215K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2750 | 20% | 89 | 58 | $44K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 145 | 95 | $25K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 10% | 30 | 26 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 159 | 90 | $22K |
| D1110 | Prophylaxis - adult | 9.0% | 289 | 289 | $19K |
| D1351 | Sealant - per tooth | 6.0% | 324 | 55 | $13K |
| D1206 | Topical application of fluoride varnish | 5.2% | 429 | 429 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 349 | 349 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 205 | 205 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 133 | 133 | $7K |
| D2950 | 3.5% | 87 | 56 | $7K | |
| D0330 | Panoramic radiographic image | 3.1% | 145 | 145 | $7K |
5 more codes
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 officialNOURMAND, PAYAM (AGENT)
| Provider | Location | Paid |
|---|---|---|
| Ez Smile Dental INC | Baltimore, MD | $2.46M |
| Glow Dental, LLC | Nottingham, MD | $1.02M |
| Glow Dental, LLC | Baltimore, MD | $169K |
| Infinite Healthy Smile, LLC | Baltimore, MD | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.