Best Smiles Family Dental QC

Best Smiles Family Dental QC was paid $23K by Medicaid between Jan 2018 and Mar 2018, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoBEST SMILES FAMILY DENTAL QC
DAVENPORT, IA 52806

33aNPI1386040962assigned 11/10/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$23K

24GClaims1,379

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#216 of 437

Median peer was paid$22K

This provider vs. median1.1×

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	1,379	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	22%	157	147	$5K
D1208	Topical application of fluoride, excluding varnish	16%	280	269	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	209	200	$3K
D1120	Dental cleaning, childProphylaxis - child	15%	153	150	$3K
D0274	Bitewings - four radiographic images	12%	143	135	$3K
D0150	Comprehensive oral evaluation - new or established patient	9.6%	108	105	$2K
D0220	Intraoral - periapical first radiographic image	5.2%	152	139	$1K
D0230	Intraoral - periapical each additional radiographic image	3.6%	162	81	$841.16
D0140	Limited oral evaluation - problem focused	1.2%	15	12	$275.00

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 officialRIVERA, MITCH (PRESIDENT)