Dental
A Great Smile Dental Care PLLC
A Great Smile Dental Care PLLC was paid $87K by Medicaid between Jan 2018 and Nov 2021, across 13 billing codes. Its largest line is D2750, — 24% of everything it billed.
33Billing provider infoA GREAT SMILE DENTAL CARE PLLC
WASHINGTON, DC 20009
WASHINGTON, DC 20009
33aNPI1275812729assigned 08/15/2011
33bProvider typeDentist
28Total paid$87K
24GClaims1,767
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Dentist providers in District of Columbia
Rank by total paid#22 of 66
Median peer was paid$30K
This provider vs. median2.9×
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 | 897 | $59K | |
| 2019 | 223 | $8K | |
| 2020 | 194 | $7K | |
| 2021 | 453 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2750 | 24% | 42 | 28 | $21K | |
| D0274 | Bitewings - four radiographic images | 12% | 286 | 273 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 322 | 314 | $10K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 10% | 15 | 14 | $9K |
| D1110 | Prophylaxis - adult | 7.9% | 98 | 98 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 270 | 269 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 382 | 327 | $6K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 112 | 109 | $5K |
| D0330 | Panoramic radiographic image | 5.4% | 76 | 69 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 19 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 36 | 36 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 97 | 79 | $2K |
1 more codes
| D1120 | Dental cleaning, child | <1% | 12 | $564.00 |
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 officialSHAW, MARLENE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| A Great Smile Dental Center LLC | Washington, DC | $138K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.