Dental
Smile Community Clinic INC
Smile Community Clinic INC was paid $65K by Medicaid between Aug 2019 and Aug 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 51% of everything it billed.
33Billing provider infoSMILE COMMUNITY CLINIC INC
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
33aNPI1457878415assigned 08/29/2017
33bProvider typeDentist
28Total paid$65K
24GClaims1,380
24DCodes billed11
24AFirst – last monthAug 2019 – Aug 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,484 of 2,314
Median peer was paid$185K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 117 | $4K | |
| 2021 | 508 | $27K | |
| 2022 | 306 | $14K | |
| 2023 | 350 | $15K | |
| 2024incomplete | 99 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 51% | 500 | 493 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 29% | 388 | 383 | $18K |
| D1110 | Prophylaxis - adult | 8.3% | 62 | 62 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 42 | 42 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 22 | 13 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 117 | 110 | $1K |
| D0274 | Bitewings - four radiographic images | 1.4% | 42 | 42 | $885.60 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 39 | 39 | $750.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 81 | 42 | $339.46 |
| D1310 | 0% | 16 | 16 | $0.00 | |
| D9910 | 0% | 71 | 30 | $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 officialNAMAVAR, VIDA (OFFICER)