Dental
Ideal Smile
Ideal Smile was paid $434K by Medicaid between May 2022 and Sep 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoIDEAL SMILE
RICHMOND, VA 23294
RICHMOND, VA 23294
33aNPI1629581715assigned 11/10/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$434K
24GClaims19,347
24DCodes billed24
24AFirst – last monthMay 2022 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#88 of 549
Median peer was paid$29K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2022 | 3,389 | $185K | |
| 2023 | 9,571 | $249K | |
| 2024incomplete | 6,387 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,462 | 1,004 | $68K |
| D1110 | Prophylaxis - adult | 12% | 2,486 | 2,457 | $53K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 368 | 246 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,518 | 2,486 | $43K |
| D0210 | Intraoral - complete series of radiographic images | 9.2% | 1,939 | 1,772 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 1,508 | 922 | $39K |
| D0274 | Bitewings - four radiographic images | 8.1% | 2,504 | 2,473 | $35K |
| D2950 | 4.7% | 282 | 242 | $20K | |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 1,088 | 1,057 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 2,127 | 1,935 | $14K |
| D4341 | 2.7% | 908 | 248 | $12K | |
| D2740 | Crown - porcelain/ceramic | 2.7% | 79 | 66 | $12K |
12 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.4% | 56 | $10K |
| D0330 | Panoramic radiographic image | 1.9% | 174 | $8K |
| D0120 | Dental checkup, returning patient | 1.4% | 1,226 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 108 | $4K |
| D1120 | Dental cleaning, child | <1% | 101 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 81 | $810.90 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $366.80 |
| D0270 | <1% | 12 | $159.83 | |
| D3320 | 0% | 18 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 93 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 118 | $0.00 |
| D2330 | 0% | 77 | $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 officialABUHAJLEH, OMAR (DOCTOR/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Ideal Dental Care , INC | North Chesterfield, VA | $2.26M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.