Dental
Affordable Smiles INC.
Affordable Smiles INC. was paid $778.00 by Medicaid between Nov 2021 and Nov 2021, across 2 billing codes. Its largest line is D0330, Panoramic radiographic image — 67% of everything it billed.
33Billing provider infoAFFORDABLE SMILES INC.
CORRY, PA 16407
CORRY, PA 16407
33aNPI1629491568assigned 01/29/2014
33bProvider typeDentist
28Total paid$778.00
24GClaims27
24DCodes billed2
24AFirst – last monthNov 2021 – Nov 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#632 of 683
Median peer was paid$34K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 27 | $778.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 67% | 14 | 14 | $518.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 13 | 13 | $260.00 |
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 officialEVALT, LEVI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Affordable Smiles of Corry | Corry, PA | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.