Dental
Bright Smiles Dentistry LLC
Bright Smiles Dentistry LLC was paid $661K by Medicaid between Dec 2021 and Nov 2024, across 14 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 16% of everything it billed.
33Billing provider infoBRIGHT SMILES DENTISTRY LLC
BROOKFIELD, WI 53005
BROOKFIELD, WI 53005
33aNPI1336804178assigned 11/06/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$661K
24GClaims11,184
24DCodes billed14
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#30 of 208
Median peer was paid$26K
This provider vs. median26×
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 | 13 | $659.36 | |
| 2022 | 5,009 | $305K | |
| 2023 | 2,422 | $160K | |
| 2024incomplete | 3,740 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 16% | 846 | 719 | $106K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 686 | 311 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 1,723 | 1,460 | $98K |
| D1110 | Prophylaxis - adult | 13% | 1,084 | 965 | $87K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,008 | 1,805 | $77K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 753 | 680 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 692 | 667 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 1,139 | 1,004 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 208 | 91 | $23K |
| D0274 | Bitewings - four radiographic images | 3.5% | 432 | 396 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 1,155 | 820 | $21K |
| D1351 | Sealant - per tooth | 1.6% | 237 | 54 | $10K |
2 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 officialMUDDANA, PRASANNA KUMARI (CO OWNER/OPERATIONS MANAGER)