Silver Lake Smiles Family Dentistry

Silver Lake Smiles Family Dentistry was paid $1K by Medicaid between Jun 2021 and Aug 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.

33Billing provider infoSILVER LAKE SMILES FAMILY DENTISTRY
NEW BRIGHTON, MN 55112

33aNPI1205497435assigned 06/27/2019

33bProvider typeDental Clinic/Center

28Total paid$1K

24GClaims39

24DCodes billed2

24AFirst – last monthJun 2021 – Aug 2023

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#133 of 148

Median peer was paid$70K

This provider vs. median0.0×

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
2021	13	$237.33
2022	12	$404.10
2023	14	$577.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	53%	25	25	$641.43
D1110	Prophylaxis - adult	47%	14	14	$577.60

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 officialONG, DAVID (OWNER)