Dental
Smiley Tooth Spa, INC
Smiley Tooth Spa, INC was paid $5.24M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 29% of everything it billed.
33Billing provider infoSMILEY TOOTH SPA, INC
MADISON, TN 37115
MADISON, TN 37115
33aNPI1205103553assigned 11/30/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$5.24M
24GClaims81,708
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#8 of 336
Median peer was paid$123K
This provider vs. median43×
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 | 6,343 | $270K | |
| 2019 | 8,873 | $263K | |
| 2020 | 6,144 | $247K | |
| 2021 | 10,456 | $467K | |
| 2022 | 12,559 | $796K | |
| 2023 | 20,069 | $1.48M | |
| 2024incomplete | 17,264 | $1.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 29% | 2,582 | 1,936 | $1.52M |
| D3310 | 9.1% | 1,219 | 488 | $475K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 8.2% | 955 | 539 | $431K |
| D2950 | 7.0% | 3,415 | 2,106 | $368K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 5,547 | 2,358 | $329K |
| D3320 | 6.1% | 669 | 462 | $319K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 3,148 | 1,795 | $221K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.5% | 2,266 | 1,220 | $184K |
| D1110 | Prophylaxis - adult | 3.0% | 3,787 | 3,702 | $157K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 5,790 | 5,701 | $137K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 10,489 | 10,066 | $127K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 3,806 | 3,748 | $121K |
21 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 4,164 | $118K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 11,562 | $101K |
| D9110 | 1.7% | 2,072 | $91K | |
| D0330 | Panoramic radiographic image | 1.7% | 4,653 | $88K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 4,338 | $86K |
| D2740 | Crown - porcelain/ceramic | 1.3% | 153 | $68K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,813 | $62K |
| D2940 | <1% | 1,360 | $48K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,686 | $46K |
| D0272 | Bitewings - two radiographic images | <1% | 2,422 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 565 | $33K |
| D0274 | Bitewings - four radiographic images | <1% | 1,385 | $30K |
| D2394 | <1% | 159 | $14K | |
| D2931 | <1% | 74 | $10K | |
| D2330 | <1% | 102 | $6K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 55 | $4K |
| D2335 | <1% | 58 | $4K | |
| D1351 | Sealant - per tooth | <1% | 145 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 53 | $1K |
| D4355 | <1% | 12 | $463.10 | |
| D3120 | <1% | 204 | $110.14 |
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 officialSMILEY, GEORGE (OWNER)