Dazzling Smile Dental Group PLLC

Dazzling Smile Dental Group PLLC was paid $893.46 by Medicaid between Jun 2019 and Sep 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.

33Billing provider infoDAZZLING SMILE DENTAL GROUP PLLC
BAYSIDE, NY 11361

33aNPI1225350887assigned 02/24/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$893.46

24GClaims50

24DCodes billed4

24AFirst – last monthJun 2019 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#2,005 of 2,184

Median peer was paid$54K

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
2019	24	$628.00
2020	26	$265.46

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	55%	12	12	$489.96
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	13	13	$265.46
D0230	Intraoral - periapical each additional radiographic image	15%	12	12	$138.04
D1999		0%	13	12	$0.00

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 officialLALEHZARI, ARMIN (OWNER)