Dental
Affordable Smiles of Mandeville, LLC
Affordable Smiles of Mandeville, LLC was paid $17K by Medicaid between Jun 2022 and Jul 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 41% of everything it billed.
33Billing provider infoAFFORDABLE SMILES OF MANDEVILLE, LLC
MANDEVILLE, LA 70448
MANDEVILLE, LA 70448
33aNPI1407514649assigned 12/06/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims445
24DCodes billed7
24AFirst – last monthJun 2022 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#276 of 412
Median peer was paid$83K
This provider vs. median0.2×
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 | 222 | $9K | |
| 2023 | 135 | $5K | |
| 2024incomplete | 88 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 41% | 166 | 150 | $7K |
| D1110 | Prophylaxis - adult | 28% | 101 | 93 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 47 | 47 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 72 | 64 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 29 | 27 | $670.80 |
| D0272 | Bitewings - two radiographic images | 1.6% | 16 | 14 | $266.10 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 12 | $84.45 |
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 officialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Affordable Smiles of Hammond, LLC | Hammond, LA | $213K |
| Affordable Smiles of Gretna, LLC | Gretna, LA | $208K |
| Affordable Smiles of Baton Rouge, LLC | Baton Rouge, LA | $191K |
| Affordable Smiles of Metairie, LLC | Metairie, LA | $131K |
| Exceptional Dental of Watson, LLC | Denham Springs, LA | $81K |
| Exceptional Dental of Uptown, LLC | New Orleans, LA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.