Dental
Smiles on Main
Smiles on Main was paid $25K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 66% of everything it billed.
33Billing provider infoSMILES ON MAIN
MAQUOKETA, IA 52060
MAQUOKETA, IA 52060
33aNPI1528015328assigned 05/27/2006
33bProvider typeDentist
28Total paid$25K
24GClaims1,355
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#139 of 268
Median peer was paid$26K
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 | 204 | $3K | |
| 2019 | 167 | $3K | |
| 2020 | 252 | $3K | |
| 2021 | 148 | $3K | |
| 2022 | 187 | $4K | |
| 2023 | 232 | $5K | |
| 2024incomplete | 165 | $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 | 66% | 844 | 823 | $17K |
| D1206 | Topical application of fluoride varnish | 18% | 281 | 261 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 142 | 136 | $4K |
| D1999 | 0% | 88 | 85 | $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 officialATIENZA, SALVADOR (PRESIDENT)