Dental
Absolute Smile
Absolute Smile was paid $75K by Medicaid between Feb 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoABSOLUTE SMILE
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1598041014assigned 10/28/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims3,086
24DCodes billed15
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#312 of 847
Median peer was paid$37K
This provider vs. median2.0×
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 | 24 | $735.10 | |
| 2024incomplete | 3,062 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 414 | 403 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 174 | 152 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 107 | 96 | $9K |
| D0274 | Bitewings - four radiographic images | 12% | 368 | 361 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 407 | 397 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 8.0% | 154 | 151 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 73 | 68 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 196 | 192 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 50 | 44 | $3K |
| D1320 | 3.2% | 161 | 158 | $2K | |
| D1330 | 2.6% | 404 | 393 | $2K | |
| D1310 | 2.6% | 401 | 391 | $2K |
3 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 officialFRIDMAN, BORIS (OWNER/PRACTITIONER)