Clinic
Family Smiles Dental Care
Family Smiles Dental Care was paid $163K by Medicaid between Jan 2024 and Dec 2024, across 12 billing codes. Its largest line is D0330, Panoramic radiographic image — 18% of everything it billed.
33Billing provider infoFAMILY SMILES DENTAL CARE
PAWTUCKET, RI 02861
PAWTUCKET, RI 02861
33aNPI1316665979assigned 08/19/2022
33bProvider typeDental Clinic/Center
28Total paid$163K
24GClaims3,576
24DCodes billed12
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Rhode Island
Rank by total paid#6 of 9
Median peer was paid$175K
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 | |
|---|---|---|---|
| 2024incomplete | 3,576 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 18% | 514 | 474 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 570 | 172 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 384 | 146 | $25K |
| D1110 | Prophylaxis - adult | 14% | 515 | 479 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 504 | 461 | $17K |
| D0274 | Bitewings - four radiographic images | 8.8% | 474 | 442 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.7% | 85 | 33 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 414 | 387 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 47 | 15 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | 12 | $996.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 40 | 39 | $609.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 13 | $195.00 |
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 officialDUGGIRALA, SRIDEVI (DENTIST)