Dental
Fresh Smiles PLLC
Fresh Smiles PLLC was paid $1.21M by Medicaid between Jan 2018 and Jul 2024, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 24% of everything it billed.
33Billing provider infoFRESH SMILES PLLC
ABERDEEN, MS 39730
ABERDEEN, MS 39730
33aNPI1356717714assigned 08/19/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$1.21M
24GClaims40,831
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#26 of 379
Median peer was paid$78K
This provider vs. median16×
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 | 6,115 | $100K | |
| 2019 | 4,749 | $138K | |
| 2020 | 4,549 | $142K | |
| 2021 | 8,655 | $258K | |
| 2022 | 7,148 | $234K | |
| 2023 | 6,690 | $189K | |
| 2024incomplete | 2,925 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24% | 3,694 | 1,156 | $286K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 3,284 | 2,615 | $162K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 4,876 | 4,038 | $117K |
| D0140 | Limited oral evaluation - problem focused | 8.6% | 3,452 | 2,629 | $103K |
| D1351 | Sealant - per tooth | 7.9% | 3,936 | 553 | $95K |
| D1206 | Topical application of fluoride varnish | 7.2% | 4,393 | 3,636 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 2,719 | 2,079 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 594 | 223 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 2,036 | 1,843 | $49K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,891 | 1,544 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 2,818 | 2,189 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 459 | 138 | $29K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 2,741 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 3,215 | $25K |
| D0330 | Panoramic radiographic image | <1% | 392 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 62 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 225 | $3K |
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 officialBRELAND, MARK (MANAGER)