Angel Smiles Dental PC

Angel Smiles Dental PC was paid $229K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoANGEL SMILES DENTAL PC
CROWN POINT, IN 46307

33aNPI1366731051assigned 04/03/2011

33bProvider typeDentist

28Total paid$229K

24GClaims9,869

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#138 of 452

Median peer was paid$59K

This provider vs. median3.9×

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	1,586	$3K
2019	758	$16K
2020	335	$10K
2021	4,322	$122K
2022	2,218	$61K
2023	379	$9K
2024incomplete	271	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	1,848	1,227	$68K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,407	1,681	$41K
D1351	Sealant - per tooth	16%	1,651	188	$38K
D1208	Topical application of fluoride, excluding varnish	11%	1,580	1,084	$24K
D0274	Bitewings - four radiographic images	11%	899	569	$24K
D1120	Dental cleaning, childProphylaxis - child	7.7%	825	593	$18K
D0140	Limited oral evaluation - problem focused	3.2%	267	169	$7K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	199	138	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	29	13	$2K
D0272	Bitewings - two radiographic images	<1%	52	36	$1K
D0220	Intraoral - periapical first radiographic image	<1%	112	79	$1K

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 officialSAFADI, TAREK (PRESIDENT)