Dental
Special Smiles LTD
Special Smiles LTD was paid $8.54M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 99% of everything it billed.
33Billing provider infoSPECIAL SMILES LTD
PHILADELPHIA, PA 19125
PHILADELPHIA, PA 19125
33aNPI1639239296assigned 12/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$8.54M
24GClaims4,217
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#2 of 847
Median peer was paid$37K
This provider vs. median232×
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 | 878 | $1.94M | |
| 2019 | 876 | $2.15M | |
| 2020 | 488 | $1.19M | |
| 2021 | 1,305 | $1.60M | |
| 2024incomplete | 670 | $1.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 99% | 3,425 | 3,423 | $8.42M |
| D9920 | 1.4% | 190 | 188 | $115K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 195 | 194 | $75.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 179 | 178 | $40.00 |
| D1110 | Prophylaxis - adult | 0% | 134 | 133 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 29 | 29 | $0.00 |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 41 | 13 | $0.00 |
| D9222 | 0% | 12 | 12 | $0.00 | |
| D4355 | 0% | 12 | 12 | $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 officialGOLDSTEIN, MARK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Seacoast Affiliated Group Practice, INC. | Newburyport, MA | $94K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.