Dental
Smile Dental Center INC.
Smile Dental Center INC. was paid $32K by Medicaid between Jan 2018 and Jul 2021, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoSMILE DENTAL CENTER INC.
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1487974093assigned 06/04/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims1,970
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#33 of 63
Median peer was paid$33K
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 | |
|---|---|---|---|
| 2018 | 1,010 | $16K | |
| 2019 | 514 | $8K | |
| 2020 | 270 | $4K | |
| 2021 | 176 | $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 | 24% | 261 | 261 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 21% | 599 | 594 | $6K |
| D0274 | Bitewings - four radiographic images | 14% | 169 | 169 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 130 | 130 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 384 | 384 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 293 | 290 | $2K |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 55 | 55 | $2K |
| D1110 | Prophylaxis - adult | 4.7% | 41 | 41 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 26 | 26 | $757.12 |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 12 | 12 | $698.88 |
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 officialVIERNES, GINA (PRESIDENT)