Pleasant Smiles Dental LLC

Pleasant Smiles Dental LLC was paid $84K by Medicaid between Jan 2018 and Sep 2019, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.

33Billing provider infoPLEASANT SMILES DENTAL LLC
MERRIMACK, NH 03054

33aNPI1659685352assigned 08/05/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$84K

24GClaims2,718

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other General Practice Dentistry providers in New Hampshire

Rank by total paid#20 of 89

Median peer was paid$11K

This provider vs. median7.8×

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	1,350	$42K
2019	1,368	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	24%	574	556	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	615	588	$18K
D1351	Sealant - per tooth	20%	559	107	$17K
D1208	Topical application of fluoride, excluding varnish	13%	629	609	$11K
D1110	Prophylaxis - adult	7.7%	135	132	$6K
D0150	Comprehensive oral evaluation - new or established patient	5.6%	86	83	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.3%	32	13	$4K
D0274	Bitewings - four radiographic images	2.2%	59	57	$2K
D0330	Panoramic radiographic image	1.1%	29	25	$937.50

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 officialAVVARU, SREELATHA (MEMBER)