Dental
Enchanted Smiles
Enchanted Smiles was paid $566K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoENCHANTED SMILES
HUMBLE, TX 77338
HUMBLE, TX 77338
33aNPI1306110747assigned 03/02/2012
33bProvider typeDentist
28Total paid$566K
24GClaims18,756
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#307 of 1,678
Median peer was paid$35K
This provider vs. median16×
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 | 876 | $31K | |
| 2021 | 5,701 | $187K | |
| 2022 | 5,104 | $154K | |
| 2023 | 4,687 | $135K | |
| 2024incomplete | 2,388 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 1,708 | 595 | $173K |
| D1351 | Sealant - per tooth | 14% | 2,894 | 713 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 1,299 | 1,299 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 1,539 | 1,539 | $44K |
| D1110 | Prophylaxis - adult | 7.7% | 804 | 804 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 2,153 | 2,153 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 388 | 177 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 1,826 | 1,817 | $22K |
| D0272 | Bitewings - two radiographic images | 3.5% | 863 | 863 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 1,743 | 1,703 | $20K |
| D0274 | Bitewings - four radiographic images | 3.1% | 517 | 517 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 214 | 214 | $15K |
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 officialDURGAPERSAD, SUSAN (DENTIST)