Bright Smile Pediatric Dentist PLLC

Bright Smile Pediatric Dentist PLLC was paid $42K by Medicaid between Jan 2018 and Jul 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.

33Billing provider infoBRIGHT SMILE PEDIATRIC DENTIST PLLC
FAIRFAX, VA 22031

33aNPI1588898217assigned 05/09/2009

33bProvider typeExclusive Provider Organization

28Total paid$42K

24GClaims1,662

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Exclusive Provider Organization providers in Virginia

Rank by total paid#11 of 15

Median peer was paid$131K

This provider vs. median0.3×

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	757	$19K
2019	518	$14K
2020	387	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	31%	395	392	$13K
D1206	Topical application of fluoride varnish	28%	575	568	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	508	502	$10K
D9920		10%	63	58	$4K
D0272	Bitewings - two radiographic images	3.2%	72	71	$1K
D1110	Prophylaxis - adult	2.6%	25	25	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	12	12	$404.88
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$375.72

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 officialLUNA, OSCAR (PEDIATRIC DENTIST)