Dental
Affordable Smiles of Corry
Affordable Smiles of Corry was paid $78K by Medicaid between Oct 2020 and Mar 2021, across 11 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 56% of everything it billed.
33Billing provider infoAFFORDABLE SMILES OF CORRY
CORRY, PA 16407
CORRY, PA 16407
33aNPI1356839906assigned 04/30/2018
33bProvider typeDentist
28Total paid$78K
24GClaims1,776
24DCodes billed11
24AFirst – last monthOct 2020 – Mar 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#237 of 683
Median peer was paid$34K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2020 | 560 | $23K | |
| 2021 | 1,216 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 56% | 724 | 84 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 115 | 52 | $7K |
| D0330 | Panoramic radiographic image | 8.2% | 179 | 179 | $6K |
| D0274 | Bitewings - four radiographic images | 6.2% | 178 | 176 | $5K |
| D1110 | Prophylaxis - adult | 5.6% | 130 | 128 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 47 | 24 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 151 | 151 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 59 | 29 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 120 | 116 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 58 | 56 | $340.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | 15 | $280.80 |
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 officialEVALT, LEVI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Affordable Smiles INC. | Corry, PA | $778.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.