Dental
Smile & Shine,pllc
Smile & Shine,pllc was paid $1.22M by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoSMILE & SHINE,PLLC
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1245504695assigned 03/02/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.22M
24GClaims36,359
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#275 of 2,774
Median peer was paid$43K
This provider vs. median29×
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 | 1,026 | $26K | |
| 2021 | 9,453 | $285K | |
| 2022 | 10,000 | $339K | |
| 2023 | 9,800 | $365K | |
| 2024incomplete | 6,080 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 2,363 | 810 | $241K |
| D1351 | Sealant - per tooth | 18% | 7,999 | 1,905 | $215K |
| D1110 | Prophylaxis - adult | 8.4% | 1,930 | 1,910 | $103K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 3,388 | 3,362 | $96K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 1,124 | 653 | $88K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 2,399 | 2,383 | $86K |
| D0145 | Oral evaluation for a patient under three years of age | 5.8% | 505 | 503 | $71K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 4,525 | 4,488 | $65K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 427 | 167 | $62K |
| D0274 | Bitewings - four radiographic images | 4.5% | 1,616 | 1,602 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 670 | 667 | $45K |
| D0272 | Bitewings - two radiographic images | 2.6% | 1,352 | 1,342 | $31K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 768 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 615 | $16K |
| D0350 | 1.0% | 752 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 327 | $4K |
| D1330 | <1% | 45 | $525.53 | |
| D0160 | <1% | 25 | $343.85 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15 | $172.65 |
| D0603 | 0% | 5,424 | $0.00 | |
| D0602 | 0% | 63 | $0.00 | |
| D0601 | 0% | 14 | $0.00 | |
| D9986 | 0% | 13 | $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 officialNANVA, HARJAP (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Bafukai, LLC | Weslaco, TX | $567K |
| Three Mile Dentistry, PLLC | Mission, TX | $212K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.