Clinic
Restoration Smiles, P.C.
Restoration Smiles, P.C. was paid $93K by Medicaid between Nov 2021 and Nov 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoRESTORATION SMILES, P.C.
HUDSON, MA 01749
HUDSON, MA 01749
33aNPI1326646399assigned 10/13/2020
33bProvider typeDental Clinic/Center
28Total paid$93K
24GClaims2,616
24DCodes billed10
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#194 of 307
Median peer was paid$245K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 25 | $1K | |
| 2022 | 404 | $14K | |
| 2023 | 882 | $33K | |
| 2024incomplete | 1,305 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 698 | 677 | $35K |
| D1206 | Topical application of fluoride varnish | 21% | 753 | 723 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 495 | 482 | $14K |
| D0274 | Bitewings - four radiographic images | 8.0% | 178 | 171 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 49 | 24 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 73 | 72 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 188 | 151 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 132 | 124 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 12 | $539.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 35 | 27 | $435.00 |
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 officialMITKO, VERONICA (OWNER, PEDIATRIC DENTIST)