Clinic
Smileville PLLC
Smileville PLLC was paid $1.30M by Medicaid between Jun 2020 and Sep 2024, across 30 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 27% of everything it billed.
33Billing provider infoSMILEVILLE PLLC
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
33aNPI1417515180assigned 05/29/2019
33bProvider typeDental Clinic/Center
28Total paid$1.30M
24GClaims20,016
24DCodes billed30
24AFirst – last monthJun 2020 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#23 of 142
Median peer was paid$75K
This provider vs. median17×
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 | 86 | $3K | |
| 2021 | 793 | $31K | |
| 2022 | 6,540 | $629K | |
| 2023 | 9,819 | $633K | |
| 2024incomplete | 2,778 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 27% | 2,741 | 594 | $356K |
| D2740 | Crown - porcelain/ceramic | 13% | 493 | 363 | $174K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 5.9% | 109 | 99 | $77K |
| D5110 | 5.5% | 109 | 108 | $72K | |
| D7250 | 5.2% | 429 | 116 | $67K | |
| D2950 | 4.3% | 590 | 463 | $56K | |
| D3320 | 4.0% | 97 | 85 | $52K | |
| D0330 | Panoramic radiographic image | 4.0% | 1,053 | 1,035 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 944 | 539 | $47K |
| D1110 | Prophylaxis - adult | 3.6% | 1,516 | 1,498 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 1,400 | 1,157 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,669 | 1,638 | $41K |
18 more codes
| D5120 | 3.0% | 63 | $39K | |
| D9310 | 2.3% | 360 | $29K | |
| D0274 | Bitewings - four radiographic images | 2.0% | 1,426 | $26K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 1,123 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 215 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,898 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 462 | $15K |
| D0120 | Dental checkup, returning patient | 1.0% | 1,209 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 679 | $10K |
| D1120 | Dental cleaning, child | <1% | 249 | $6K |
| D9630 | <1% | 262 | $4K | |
| D7310 | <1% | 31 | $4K | |
| D4341 | <1% | 40 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 380 | $3K |
| D4910 | <1% | 143 | $2K | |
| D4342 | <1% | 197 | $2K | |
| D5212 | 0% | 12 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 117 | $0.00 |
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 officialAL-DOURI, ALI (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Aldouri DDS PLLC | Fredericksburg, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.