Dental
Great Smiles Dental Group
Great Smiles Dental Group was paid $72K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoGREAT SMILES DENTAL GROUP
MATTHEWS, NC 28104
MATTHEWS, NC 28104
33aNPI1548615511assigned 04/27/2016
33bProvider typeDentist
28Total paid$72K
24GClaims2,157
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#237 of 402
Median peer was paid$154K
This provider vs. median0.5×
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 | 1,722 | $59K | |
| 2019 | 435 | $13K |
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 | 22% | 192 | 97 | $16K |
| D1110 | Prophylaxis - adult | 13% | 294 | 276 | $10K |
| D0330 | Panoramic radiographic image | 11% | 193 | 176 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 117 | 62 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 198 | 180 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 275 | 251 | $6K |
| D0274 | Bitewings - four radiographic images | 7.5% | 220 | 193 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 184 | 160 | $4K |
| D1206 | Topical application of fluoride varnish | 3.9% | 205 | 181 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 72 | 63 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 142 | 129 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 65 | 32 | $631.77 |
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 officialDHULAB, MITESH (OWNER)