Dental
Simply Smile Dental PC
Simply Smile Dental PC was paid $153K by Medicaid between Apr 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoSIMPLY SMILE DENTAL PC
GLENDALE, NY 11385
GLENDALE, NY 11385
33aNPI1295194363assigned 02/18/2016
33bProvider typeDentist
28Total paid$153K
24GClaims7,853
24DCodes billed10
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#506 of 1,649
Median peer was paid$49K
This provider vs. median3.1×
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 | 203 | $5K | |
| 2019 | 537 | $12K | |
| 2020 | 901 | $19K | |
| 2021 | 1,253 | $24K | |
| 2022 | 1,689 | $33K | |
| 2023 | 1,713 | $32K | |
| 2024incomplete | 1,557 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 1,482 | 1,482 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 2,035 | 2,035 | $42K |
| D0274 | Bitewings - four radiographic images | 17% | 1,292 | 1,292 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 10.0% | 1,556 | 1,556 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 1,278 | 1,278 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 138 | 138 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 29 | 29 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | 12 | $907.10 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 14 | 14 | $423.78 |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | 16 | $148.96 |
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 officialPORTELA, JUAN (PRESIDENT)