Dental
Complete Smiles Dental PC
Complete Smiles Dental PC was paid $452K by Medicaid between May 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoCOMPLETE SMILES DENTAL PC
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1497161053assigned 07/03/2014
33bProvider typeDentist
28Total paid$452K
24GClaims16,357
24DCodes billed17
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#230 of 1,649
Median peer was paid$49K
This provider vs. median9.2×
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 | 106 | $4K | |
| 2019 | 659 | $21K | |
| 2020 | 2,291 | $69K | |
| 2021 | 3,358 | $100K | |
| 2022 | 2,765 | $68K | |
| 2023 | 3,520 | $93K | |
| 2024incomplete | 3,658 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 3,325 | 3,325 | $133K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 1,546 | 707 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 822 | 434 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,679 | 2,678 | $54K |
| D0274 | Bitewings - four radiographic images | 7.4% | 1,645 | 1,645 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.4% | 671 | 342 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 2,193 | 2,186 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 879 | 879 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 1,866 | 1,866 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 110 | 110 | $3K |
| D0330 | Panoramic radiographic image | <1% | 67 | 67 | $1K |
| D2330 | <1% | 17 | 13 | $911.06 |
5 more codes
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 officialILYAYEV, ALBERT (PRESIDENT)