Dental
Supertooth INC
Supertooth INC was paid $129K by Medicaid between Jan 2023 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoSUPERTOOTH INC
GAITHERSBURG, MD 20878
GAITHERSBURG, MD 20878
33aNPI1588207914assigned 10/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$129K
24GClaims3,156
24DCodes billed12
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#213 of 598
Median peer was paid$42K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2023 | 1,455 | $58K | |
| 2024incomplete | 1,701 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 532 | 523 | $34K |
| D0140 | Limited oral evaluation - problem focused | 15% | 433 | 402 | $20K |
| D3120 | 15% | 544 | 229 | $19K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 116 | 70 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 176 | 167 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 6.3% | 147 | 143 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 241 | 241 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 593 | 494 | $7K |
| D0274 | Bitewings - four radiographic images | 2.5% | 143 | 136 | $3K |
| D0330 | Panoramic radiographic image | 2.3% | 75 | 67 | $3K |
| D1206 | Topical application of fluoride varnish | 1.4% | 75 | 72 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 81 | 73 | $872.48 |
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 officialMANESH, BEN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Bethesda Chevy Chase Dental Care | Chevy Chase, MD | $20K |
| Ben Manesh DDS Vi PC | Germantown, MD | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.