Dental
Amazing Smile LLC
Amazing Smile LLC was paid $87K by Medicaid between Sep 2018 and May 2022, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 39% of everything it billed.
33Billing provider infoAMAZING SMILE LLC
SANFORD, FL 32771
SANFORD, FL 32771
33aNPI1245637909assigned 11/24/2014
33bProvider typeDentist
28Total paid$87K
24GClaims5,088
24DCodes billed16
24AFirst – last monthSep 2018 – May 2022
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#184 of 542
Median peer was paid$25K
This provider vs. median3.4×
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 | 222 | $5K | |
| 2019 | 114 | $3K | |
| 2020 | 2,447 | $43K | |
| 2021 | 351 | $5K | |
| 2022 | 1,954 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 39% | 423 | 420 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 372 | 367 | $21K |
| D0330 | Panoramic radiographic image | 17% | 403 | 399 | $15K |
| D1110 | Prophylaxis - adult | 9.0% | 309 | 307 | $8K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 65 | 65 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 38 | 27 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 24 | 16 | $2K |
| D1999 | 1.5% | 60 | 51 | $1K | |
| D1351 | Sealant - per tooth | 1.3% | 806 | 181 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 399 | 395 | $789.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 109 | 108 | $571.25 |
| D9920 | <1% | 13 | 12 | $288.00 |
4 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 officialCLEMENTE, EVELYN (OWNER)