Dental
Mighty Smiles LLC
Mighty Smiles LLC was paid $43K by Medicaid between Oct 2020 and Nov 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoMIGHTY SMILES LLC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1306454475assigned 07/15/2020
33bProvider typeDentist
28Total paid$43K
24GClaims1,514
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2022
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#863 of 1,649
Median peer was paid$49K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 332 | $9K | |
| 2021 | 900 | $25K | |
| 2022 | 282 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 300 | 300 | $13K |
| D0330 | Panoramic radiographic image | 28% | 416 | 413 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 476 | 473 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 6.9% | 240 | 235 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 25 | 19 | $1K |
| D4341 | 3.2% | 18 | 12 | $1K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 14 | 14 | $324.80 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $155.74 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $110.60 |
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 officialWONG, SIMON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Simonwongddsinc | Glendale, CA | $313K |
| Simon Wong Dental Group INC. | Monterey Park, CA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.