Dental
Absolute Smile INC
Absolute Smile INC was paid $156K by Medicaid between Dec 2020 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoABSOLUTE SMILE INC
PHILADELPHIA, PA 19115
PHILADELPHIA, PA 19115
33aNPI1609314160assigned 02/05/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$156K
24GClaims6,401
24DCodes billed15
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#201 of 847
Median peer was paid$37K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 64 | $2K | |
| 2021 | 391 | $10K | |
| 2023 | 25 | $792.00 | |
| 2024incomplete | 5,921 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,092 | 1,041 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 442 | 237 | $26K |
| D0274 | Bitewings - four radiographic images | 10% | 629 | 611 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 293 | 154 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 723 | 698 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 255 | 235 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 434 | 412 | $8K |
| D1330 | 4.9% | 890 | 849 | $8K | |
| D1310 | 4.8% | 883 | 844 | $8K | |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 166 | 162 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 127 | 126 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 343 | 332 | $3K |
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 officialFRIEDMAN, ERIC (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Portland Surgical Oncology, PC | Portland, OR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.