Clinic
Smile Street Dental
Smile Street Dental was paid $962K by Medicaid between Jun 2020 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoSMILE STREET DENTAL
WOODLAWN, MD 21207
WOODLAWN, MD 21207
33aNPI1629609888assigned 01/27/2020
33bProvider typeDental Clinic/Center
28Total paid$962K
24GClaims23,469
24DCodes billed20
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#38 of 133
Median peer was paid$216K
This provider vs. median4.5×
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 | 994 | $26K | |
| 2021 | 3,251 | $90K | |
| 2022 | 4,392 | $121K | |
| 2023 | 7,702 | $351K | |
| 2024incomplete | 7,130 | $373K |
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 | 25% | 1,844 | 829 | $244K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,496 | 2,469 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 1,833 | 1,807 | $99K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 782 | 394 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 2,206 | 2,179 | $67K |
| D9248 | 6.6% | 341 | 326 | $64K | |
| D1110 | Prophylaxis - adult | 6.5% | 987 | 973 | $62K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 3,407 | 3,334 | $35K |
| D0330 | Panoramic radiographic image | 3.4% | 754 | 734 | $33K |
| D1351 | Sealant - per tooth | 2.6% | 724 | 126 | $25K |
| D0272 | Bitewings - two radiographic images | 2.4% | 1,463 | 1,440 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 345 | 345 | $20K |
8 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 824 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 2,877 | $19K |
| D1206 | Topical application of fluoride varnish | 1.6% | 602 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 86 | $14K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 265 | $12K |
| D1330 | <1% | 1,139 | $7K | |
| D3120 | <1% | 192 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 302 | $5K |
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 officialROYAL, AMBER (CEO)