Dental
The Smile Store, LLC
The Smile Store, LLC was paid $110K by Medicaid between Aug 2018 and May 2024, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 38% of everything it billed.
33Billing provider infoTHE SMILE STORE, LLC
SEASIDE, OR 97138
SEASIDE, OR 97138
33aNPI1629578539assigned 02/16/2018
33bProvider typeDenturist
28Total paid$110K
24GClaims2,164
24DCodes billed4
24AFirst – last monthAug 2018 – May 2024
Compared with peers
Next to other Denturist providers in Oregon
Rank by total paid#8 of 18
Median peer was paid$28K
This provider vs. median3.9×
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 | 25 | $386.40 | |
| 2019 | 188 | $3K | |
| 2020 | 706 | $9K | |
| 2021 | 267 | $7K | |
| 2022 | 437 | $46K | |
| 2023 | 393 | $21K | |
| 2024incomplete | 148 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 38% | 1,441 | 1,375 | $42K |
| D5110 | 36% | 58 | 54 | $40K | |
| D5120 | 19% | 30 | 27 | $21K | |
| D1999 | 7.0% | 635 | 421 | $8K |
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 officialCUNNING, KEITH (PRESIDENT)