Dental
Smile Fresh PC
Smile Fresh PC was paid $564K by Medicaid between Aug 2020 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoSMILE FRESH PC
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
33aNPI1477163939assigned 08/08/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$564K
24GClaims13,087
24DCodes billed17
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#116 of 1,554
Median peer was paid$15K
This provider vs. median39×
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 | 739 | $35K | |
| 2021 | 2,052 | $68K | |
| 2022 | 2,477 | $85K | |
| 2023 | 3,047 | $140K | |
| 2024incomplete | 4,772 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 1,350 | 649 | $170K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,040 | 2,039 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 1,891 | 1,889 | $52K |
| D1206 | Topical application of fluoride varnish | 8.8% | 1,960 | 1,959 | $49K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 253 | 144 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 394 | 240 | $38K |
| D1110 | Prophylaxis - adult | 4.3% | 456 | 456 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 514 | 513 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,139 | 1,130 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 1,710 | 953 | $16K |
| D1351 | Sealant - per tooth | 2.7% | 496 | 92 | $15K |
| D0274 | Bitewings - four radiographic images | 2.5% | 413 | 413 | $14K |
5 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 159 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 77 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 157 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 59 | $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 officialRAZIUDDIN, FAUZI (BUSINESS MANGER)
| Provider | Location | Paid |
|---|---|---|
| Smile Fresh Ah PC | Auburn Hills, MI | $66K |
| Smile Fresh Troy, P.C. | Troy, MI | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.