Clinic
Smile Team PC
Smile Team PC was paid $125K by Medicaid between Dec 2023 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoSMILE TEAM PC
PHILADELPHIA, PA 19115
PHILADELPHIA, PA 19115
33aNPI1215574355assigned 12/09/2019
33bProvider typeDental Clinic/Center
28Total paid$125K
24GClaims5,589
24DCodes billed19
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#32 of 78
Median peer was paid$70K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 129 | $2K | |
| 2024incomplete | 5,460 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 866 | 805 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 339 | 211 | $21K |
| D0274 | Bitewings - four radiographic images | 14% | 873 | 817 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 208 | 116 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 505 | 482 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 1,000 | 931 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 380 | 359 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 910 | 837 | $7K |
| D1351 | Sealant - per tooth | 4.9% | 94 | 39 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 34 | 28 | $3K |
| D2331 | 1.2% | 30 | 24 | $2K | |
| D9110 | 1.2% | 50 | 47 | $1K |
7 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 officialDOESCHER, BANSI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Team PC | Philadelphia, PA | $530K |
| Smile Team PC | Philadelphia, PA | $71K |
| Smile Team | Upper Darby, PA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.