Affordable Smiles, INC.

Affordable Smiles, INC. was paid $894.70 by Medicaid between Mar 2018 and Apr 2018, across 3 billing codes. Its largest line is D0330, Panoramic radiographic image — 45% of everything it billed.

33Billing provider infoAFFORDABLE SMILES, INC.
MEADVILLE, PA 16335

33aNPI1336514132assigned 12/04/2015

33bProvider typeDentist

28Total paid$894.70

24GClaims42

24DCodes billed3

24AFirst – last monthMar 2018 – Apr 2018

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#627 of 683

Median peer was paid$34K

This provider vs. median0.0×

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	42	$894.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	45%	15	15	$402.00
D0150	Comprehensive oral evaluation - new or established patient	30%	14	14	$268.30
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	13	13	$224.40

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 officialHITCHCOCK, JEREMY (CHIEF OPERATING OFFICER)

Parent organizationAFFORDABLE SMILES, INC