Dental
Gorgeous Smiles Dental, PC
Gorgeous Smiles Dental, PC was paid $116K by Medicaid between May 2023 and Dec 2024, across 15 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 20% of everything it billed.
33Billing provider infoGORGEOUS SMILES DENTAL, PC
MANCHESTER, CT 06042
MANCHESTER, CT 06042
33aNPI1255027850assigned 04/17/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$116K
24GClaims5,861
24DCodes billed15
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#187 of 431
Median peer was paid$79K
This provider vs. median1.5×
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 | 442 | $9K | |
| 2024incomplete | 5,419 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 20% | 1,094 | 832 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 548 | 432 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.7% | 875 | 194 | $11K |
| D1110 | Prophylaxis - adult | 9.3% | 369 | 331 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 313 | 257 | $10K |
| D0330 | Panoramic radiographic image | 7.9% | 554 | 310 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 413 | 352 | $9K |
| D1206 | Topical application of fluoride varnish | 7.1% | 456 | 405 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 839 | 516 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 107 | 98 | $4K |
| D7230 | 2.5% | 43 | 12 | $3K | |
| D0274 | Bitewings - four radiographic images | 2.3% | 92 | 85 | $3K |
3 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 officialBELISLE, RAYMOND (COO)
| Provider | Location | Paid |
|---|---|---|
| Gorgeous Smiles Dental Hartford | Hartford, CT | $147K |
| Gorgeous Smiles Dental Southington | Southington, CT | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.