Dental
Smile and Shine Waterbury
Smile and Shine Waterbury was paid $663K by Medicaid between Dec 2020 and Dec 2024, across 20 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 13% of everything it billed.
33Billing provider infoSMILE AND SHINE WATERBURY
WATERBURY, CT 06705
WATERBURY, CT 06705
33aNPI1225624596assigned 12/21/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$663K
24GClaims19,739
24DCodes billed20
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#87 of 431
Median peer was paid$79K
This provider vs. median8.4×
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 | |
|---|---|---|---|
| 2020 | 31 | $209.38 | |
| 2021 | 3,773 | $130K | |
| 2022 | 5,369 | $191K | |
| 2023 | 5,170 | $177K | |
| 2024incomplete | 5,396 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13% | 3,111 | 2,804 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,100 | 624 | $82K |
| D0274 | Bitewings - four radiographic images | 8.1% | 1,687 | 1,593 | $54K |
| D0330 | Panoramic radiographic image | 8.1% | 916 | 857 | $53K |
| D1110 | Prophylaxis - adult | 7.8% | 1,512 | 1,422 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 2,223 | 2,119 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 1,066 | 1,033 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 932 | 798 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 1,312 | 1,265 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 506 | 287 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 356 | 238 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 2,688 | 2,411 | $31K |
8 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.3% | 148 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,394 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 283 | $14K |
| D1351 | Sealant - per tooth | 2.0% | 341 | $13K |
| D9613 | 1.3% | 53 | $8K | |
| D0191 | <1% | 81 | $2K | |
| D2394 | <1% | 17 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $386.56 |
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 officialNUNEZ, MICHELLE (OFFICE MANAGER)