Dental
Smile By Design Hartford LLC
Smile By Design Hartford LLC was paid $59K by Medicaid between Jan 2018 and Feb 2020, across 11 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 21% of everything it billed.
33Billing provider infoSMILE BY DESIGN HARTFORD LLC
HARTFORD, CT 06114
HARTFORD, CT 06114
33aNPI1477919058assigned 01/12/2016
33bProvider typeDentist
28Total paid$59K
24GClaims2,127
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in Connecticut
Rank by total paid#72 of 153
Median peer was paid$41K
This provider vs. median1.4×
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 | 873 | $22K | |
| 2019 | 1,137 | $34K | |
| 2020 | 117 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 21% | 640 | 611 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 448 | 426 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 262 | 240 | $10K |
| D1110 | Prophylaxis - adult | 15% | 295 | 290 | $9K |
| D0140 | Limited oral evaluation - problem focused | 7.0% | 154 | 142 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 45 | 26 | $4K |
| D0274 | Bitewings - four radiographic images | 4.6% | 93 | 91 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 36 | 25 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 53 | 52 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 31 | 31 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 70 | 68 | $776.72 |
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 officialKHARSA, SALEH (PRESIDENT)