Sure Smile, LLC

Sure Smile, LLC was paid $102K by Medicaid between May 2018 and Jul 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoSURE SMILE, LLC
SCARSDALE, NY 10583

33aNPI1669704813assigned 02/12/2010

33bProvider typeDentist

28Total paid$102K

24GClaims3,957

24DCodes billed7

24AFirst – last monthMay 2018 – Jul 2023

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#628 of 1,649

Median peer was paid$49K

This provider vs. median2.1×

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	149	$5K
2019	407	$11K
2020	642	$17K
2021	988	$25K
2022	1,117	$26K
2023	654	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	1,104	1,100	$48K
D0274	Bitewings - four radiographic images	27%	1,257	1,254	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	715	712	$15K
D0140	Limited oral evaluation - problem focused	6.0%	585	477	$6K
D0150	Comprehensive oral evaluation - new or established patient	2.9%	132	132	$3K
D0210	Intraoral - complete series of radiographic images	2.8%	151	149	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	13	13	$141.70

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 officialKHEIR, AHMED (DR.)