Dental
Sweet Smiles Grafton LLC
Sweet Smiles Grafton LLC was paid $4.37M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoSWEET SMILES GRAFTON LLC
GRAFTON, WI 53024
GRAFTON, WI 53024
33aNPI1598187247assigned 01/15/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$4.37M
24GClaims100,596
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#8 of 208
Median peer was paid$26K
This provider vs. median168×
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 | 16,251 | $264K | |
| 2019 | 15,655 | $285K | |
| 2020 | 10,008 | $367K | |
| 2021 | 9,462 | $461K | |
| 2022 | 10,172 | $673K | |
| 2023 | 18,710 | $1.09M | |
| 2024incomplete | 20,338 | $1.22M |
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 | 16% | 6,185 | 3,055 | $705K |
| D1110 | Prophylaxis - adult | 10% | 8,109 | 7,309 | $455K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 13,566 | 11,987 | $352K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 11,114 | 10,018 | $349K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 4,093 | 2,103 | $347K |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 3,554 | 3,173 | $337K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 6,929 | 6,115 | $316K |
| D1351 | Sealant - per tooth | 5.7% | 6,006 | 1,498 | $250K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 5,809 | 5,033 | $238K |
| D0274 | Bitewings - four radiographic images | 4.6% | 5,999 | 5,365 | $200K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 10,497 | 9,217 | $162K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 1,104 | 644 | $161K |
11 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 1,740 | $125K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 10,376 | $116K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 943 | $84K |
| D0272 | Bitewings - two radiographic images | 1.4% | 2,011 | $63K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,682 | $62K |
| D1206 | Topical application of fluoride varnish | <1% | 758 | $27K |
| D4355 | <1% | 26 | $5K | |
| D2394 | <1% | 17 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 39 | $3K |
| D2332 | <1% | 23 | $3K | |
| D2335 | <1% | 16 | $984.80 |
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 officialGORANTLA, PAVAN (MANAGER)