Divine Smiles Dentistry

Divine Smiles Dentistry was paid $12K by Medicaid between May 2023 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 64% of everything it billed.

33Billing provider infoDIVINE SMILES DENTISTRY
BETHESDA, MD 20814

33aNPI1669760195assigned 07/19/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims251

24DCodes billed5

24AFirst – last monthMay 2023 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#417 of 598

Median peer was paid$42K

This provider vs. median0.3×

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
2023	107	$5K
2024incomplete	144	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	64%	117	116	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	71	71	$2K
D0274	Bitewings - four radiographic images	7.5%	38	38	$914.66
D0150	Comprehensive oral evaluation - new or established patient	5.6%	13	12	$676.08
D0330	Panoramic radiographic image	4.5%	12	12	$551.40

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 officialNUNEZ, ROCHELLE (MEMBER)