Dental
Germantown Smile Design PC
Germantown Smile Design PC was paid $38K by Medicaid between Jan 2018 and Dec 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoGERMANTOWN SMILE DESIGN PC
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1215108923assigned 03/20/2008
33bProvider typeDentist
28Total paid$38K
24GClaims1,577
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#183 of 242
Median peer was paid$164K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 482 | $12K | |
| 2019 | 1,095 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 270 | 265 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 403 | 395 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 322 | 317 | $7K |
| D0274 | Bitewings - four radiographic images | 16% | 273 | 267 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 70 | 40 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 120 | 115 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 107 | 104 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $175.50 |
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 officialWALLEY, DONALD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pickwick Family Dentalk Care , INC. | Counce, TN | $271K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.