Smile Dental Clinic

Smile Dental Clinic was paid $88K by Medicaid between Jan 2018 and Sep 2018, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoSMILE DENTAL CLINIC
FALLS CHURCH, VA 22041

33aNPI1598044760assigned 08/05/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$88K

24GClaims2,593

24DCodes billed12

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#201 of 549

Median peer was paid$29K

This provider vs. median3.0×

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	2,593	$88K

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	21%	206	119	$18K
D1208	Topical application of fluoride, excluding varnish	16%	662	662	$14K
D1120	Dental cleaning, childProphylaxis - child	15%	405	405	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	523	523	$11K
D1110	Prophylaxis - adult	11%	212	212	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	10%	120	74	$9K
D0274	Bitewings - four radiographic images	8.2%	261	261	$7K
D0150	Comprehensive oral evaluation - new or established patient	3.4%	97	97	$3K
D0140	Limited oral evaluation - problem focused	1.2%	41	41	$1K
D9920		1.0%	13	12	$890.50
D0210	Intraoral - complete series of radiographic images	<1%	14	14	$609.16
D0220	Intraoral - periapical first radiographic image	<1%	39	39	$436.02

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 officialAHMAD, FARAH (DENTIST)