Dental
Smile Center of Sheridan, PLLC
Smile Center of Sheridan, PLLC was paid $19K by Medicaid between Nov 2022 and Apr 2023, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoSMILE CENTER OF SHERIDAN, PLLC
SHERIDAN, AR 72150
SHERIDAN, AR 72150
33aNPI1376252478assigned 11/16/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims861
24DCodes billed9
24AFirst – last monthNov 2022 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#245 of 401
Median peer was paid$36K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 164 | $4K | |
| 2023 | 697 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 85 | 80 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 130 | 128 | $3K |
| D0272 | Bitewings - two radiographic images | 14% | 125 | 125 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 76 | 75 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 133 | 132 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 149 | 145 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 108 | 101 | $1K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 27 | 25 | $746.60 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 28 | 27 | $641.58 |
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 officialLOGAN, SUSAN (INSURANCE ADMIN)