Dental
Montgomery Smile Center LLC
Montgomery Smile Center LLC was paid $28K by Medicaid between Aug 2024 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoMONTGOMERY SMILE CENTER LLC
NORTH WALES, PA 19454
NORTH WALES, PA 19454
33aNPI1619664836assigned 04/18/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$28K
24GClaims1,201
24DCodes billed11
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#459 of 847
Median peer was paid$37K
This provider vs. median0.8×
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 | 1,201 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 233 | 229 | $7K |
| D0274 | Bitewings - four radiographic images | 20% | 222 | 219 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 44 | 42 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 166 | 164 | $3K |
| D0330 | Panoramic radiographic image | 8.7% | 72 | 72 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 133 | 132 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 175 | 164 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 15 | 14 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 26 | 26 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 85 | 80 | $506.52 |
| D0601 | 1.1% | 30 | 30 | $300.00 |
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 officialSHARKOV, KIRIL (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Healthy Smiles of Abington, LLC | Abington, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.