Dental
Banana Smiles Pediatric Dentistry PLLC
Banana Smiles Pediatric Dentistry PLLC was paid $200K by Medicaid between May 2023 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoBANANA SMILES PEDIATRIC DENTISTRY PLLC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1447947924assigned 04/24/2023
33bProvider typePediatric Dentist
28Total paid$200K
24GClaims8,622
24DCodes billed17
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#252 of 514
Median peer was paid$196K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 2,508 | $55K | |
| 2024incomplete | 6,114 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,294 | 1,294 | $42K |
| D1351 | Sealant - per tooth | 20% | 1,285 | 285 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,021 | 1,020 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 1,323 | 1,322 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 249 | 115 | $13K |
| D1110 | Prophylaxis - adult | 6.4% | 309 | 309 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 563 | 563 | $13K |
| D0240 | 6.2% | 622 | 571 | $12K | |
| D0272 | Bitewings - two radiographic images | 5.3% | 853 | 852 | $11K |
| D1206 | Topical application of fluoride varnish | 3.6% | 343 | 342 | $7K |
| D0330 | Panoramic radiographic image | 2.0% | 136 | 136 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 264 | 263 | $3K |
5 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 25 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 81 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 200 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 41 | $519.27 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $149.11 |
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 officialSHIHADEH, FAWAZ (PEDIATRIC DENTIST/ OWNER)