Dental
Smiles By Delivery, PLLC
Smiles By Delivery, PLLC was paid $2K by Medicaid between Jul 2020 and Dec 2022, across 11 billing codes. Its largest line is D9410, — 63% of everything it billed.
33Billing provider infoSMILES BY DELIVERY, PLLC
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1295083202assigned 08/22/2012
33bProvider typeDental Hygienist
28Total paid$2K
24GClaims3,801
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2022
Compared with peers
Next to other Dental Hygienist providers in Arizona
Rank by total paid#5 of 13
Median peer was paid$0.00
This provider vs. median0.0×
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 | 60 | $618.40 | |
| 2021 | 1,104 | $2K | |
| 2022 | 2,637 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9410 | 63% | 2,029 | 1,744 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 15% | 322 | 321 | $369.66 |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 338 | 334 | $227.64 |
| D1206 | Topical application of fluoride varnish | 7.7% | 498 | 477 | $187.20 |
| D1110 | Prophylaxis - adult | 5.2% | 222 | 216 | $126.72 |
| D0274 | Bitewings - four radiographic images | 0% | 72 | 69 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 39 | 14 | $0.00 |
| D4910 | 0% | 29 | 28 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 67 | 64 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 151 | 144 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 34 | 31 | $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 officialMAMOLA, ELAINE (RDH/OWNER)