Dental
Sea of Smiles 4 LLC
Sea of Smiles 4 LLC was paid $23K by Medicaid between Aug 2024 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoSEA OF SMILES 4 LLC
JENKINTOWN, PA 19046
JENKINTOWN, PA 19046
33aNPI1598309106assigned 11/06/2019
33bProvider typePediatric Dentist
28Total paid$23K
24GClaims1,610
24DCodes billed11
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#172 of 237
Median peer was paid$109K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 1,610 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 257 | 256 | $7K |
| D1206 | Topical application of fluoride varnish | 24% | 258 | 257 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 195 | 195 | $4K |
| D0603 | 11% | 252 | 251 | $2K | |
| D1330 | 5.6% | 258 | 257 | $1K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 55 | 55 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 15 | 12 | $510.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 18 | 18 | $427.08 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 30 | 30 | $293.77 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | 13 | $124.93 |
| D1310 | 0% | 259 | 258 | $0.00 |
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 officialPATEL, RAJ (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medstar Laboratory, INC | Hillside, IL | $37.33M |
| Sea of Smiles | Yardley, PA | $183K |
| Pediatric Dental Health, LLC | Bensalem, PA | $91K |
| Sea of Smiles 3PLLC | Warrington, PA | $53K |
| True Dermatology, LLC | Alabaster, AL | $915.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.