Clinic
Simply Smile PA
Simply Smile PA was paid $5.48M by Medicaid between Aug 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoSIMPLY SMILE PA
COLUMBIA, SC 29209
COLUMBIA, SC 29209
33aNPI1427548353assigned 05/16/2018
33bProvider typeDental Clinic/Center
28Total paid$5.48M
24GClaims126,245
24DCodes billed26
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#4 of 68
Median peer was paid$121K
This provider vs. median45×
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 | 6,163 | $267K | |
| 2019 | 17,160 | $781K | |
| 2020 | 20,815 | $1.03M | |
| 2021 | 24,363 | $1.15M | |
| 2022 | 24,214 | $1.09M | |
| 2023 | 20,598 | $732K | |
| 2024incomplete | 12,932 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 6,852 | 2,798 | $856K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 11% | 7,225 | 2,896 | $585K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 4,056 | 2,761 | $410K |
| D9248 | 7.1% | 5,932 | 5,691 | $390K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 10,440 | 10,440 | $365K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 12,416 | 12,416 | $287K |
| D1110 | Prophylaxis - adult | 5.0% | 5,488 | 5,488 | $274K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 7,867 | 7,450 | $252K |
| D1206 | Topical application of fluoride varnish | 4.5% | 15,019 | 15,019 | $247K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 2,862 | 1,772 | $244K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 3,015 | 2,136 | $242K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 4,928 | 4,928 | $200K |
14 more codes
| D1351 | Sealant - per tooth | 3.3% | 6,074 | $181K |
| D2934 | 3.1% | 1,338 | $168K | |
| D0274 | Bitewings - four radiographic images | 2.8% | 5,505 | $152K |
| D0272 | Bitewings - two radiographic images | 2.7% | 7,681 | $146K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 8,655 | $109K |
| D0330 | Panoramic radiographic image | 1.4% | 1,623 | $79K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 2,008 | $75K |
| D1510 | 1.1% | 360 | $62K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,148 | $53K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,036 | $46K |
| D2330 | <1% | 573 | $39K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 59 | $7K |
| D7111 | <1% | 54 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 31 | $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 officialDAILEY, SABRINA (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Simply Smile North East | Columbia, SC | $1.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.