Dental
Elite Smile
Elite Smile was paid $21K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoELITE SMILE
WESTLAND, MI 48185
WESTLAND, MI 48185
33aNPI1215476387assigned 02/21/2017
33bProvider typeDentist
28Total paid$21K
24GClaims1,657
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#474 of 1,033
Median peer was paid$15K
This provider vs. median1.4×
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 | 1,657 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 173 | 172 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 245 | 243 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 74 | 42 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 101 | 50 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 571 | 184 | $2K |
| D0140 | Limited oral evaluation - problem focused | 7.3% | 95 | 88 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 22 | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 260 | 237 | $1K |
| D0272 | Bitewings - two radiographic images | 4.7% | 87 | 87 | $966.35 |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 14 | 13 | $394.47 |
| D4355 | <1% | 15 | 13 | $43.26 |
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 officialALSHAIKH, NIDA (DESNTIST)