Dental
Smile Haven Dental Center LLC
Smile Haven Dental Center LLC was paid $342K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 17% of everything it billed.
33Billing provider infoSMILE HAVEN DENTAL CENTER LLC
TERRYVILLE, CT 06786
TERRYVILLE, CT 06786
33aNPI1598179913assigned 06/13/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$342K
24GClaims11,634
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#118 of 431
Median peer was paid$79K
This provider vs. median4.3×
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 | 1,556 | $48K | |
| 2019 | 1,760 | $47K | |
| 2020 | 961 | $25K | |
| 2021 | 1,101 | $32K | |
| 2022 | 1,688 | $47K | |
| 2023 | 2,277 | $74K | |
| 2024incomplete | 2,291 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 17% | 1,923 | 1,786 | $57K |
| D1206 | Topical application of fluoride varnish | 15% | 2,450 | 2,311 | $51K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,105 | 1,052 | $46K |
| D0330 | Panoramic radiographic image | 13% | 1,330 | 1,005 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,170 | 989 | $43K |
| D1110 | Prophylaxis - adult | 12% | 1,284 | 1,188 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,541 | 1,461 | $40K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 356 | 323 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 60 | 39 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 289 | 251 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 102 | 100 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 24 | 15 | $2K |
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 officialMALDONADO, MARCELO (OWNER)