Jolly Smiles, P.A.

Jolly Smiles, P.A. was paid $63K by Medicaid between Apr 2018 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoJOLLY SMILES, P.A.
MIDDLETOWN, DE 19709

33aNPI1437383395assigned 05/06/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$63K

24GClaims2,311

24DCodes billed10

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Delaware

Rank by total paid#34 of 78

Median peer was paid$35K

This provider vs. median1.8×

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	153	$4K
2019	646	$20K
2020	222	$7K
2021	428	$10K
2022	371	$11K
2023	367	$9K
2024incomplete	124	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	486	440	$18K
D1120	Dental cleaning, childProphylaxis - child	25%	324	302	$16K
D1206	Topical application of fluoride varnish	23%	492	467	$15K
D0220	Intraoral - periapical first radiographic image	6.8%	202	192	$4K
D0230	Intraoral - periapical each additional radiographic image	4.4%	161	144	$3K
D1208	Topical application of fluoride, excluding varnish	4.3%	101	92	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	44	41	$2K
D1110	Prophylaxis - adult	2.7%	31	25	$2K
D0274	Bitewings - four radiographic images	<1%	14	14	$610.61
D0601		0%	456	425	$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 officialJOLLY, JEENA (PRESIDENT)