Dental
Dream Smile LLC
Dream Smile LLC was paid $279K by Medicaid between Jan 2021 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoDREAM SMILE LLC
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1679817951assigned 11/26/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$279K
24GClaims10,993
24DCodes billed16
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#121 of 847
Median peer was paid$37K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2021 | 4,989 | $115K | |
| 2024incomplete | 6,004 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,517 | 1,500 | $49K |
| D1351 | Sealant - per tooth | 17% | 1,105 | 236 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 834 | 821 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 1,454 | 1,446 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,102 | 1,086 | $21K |
| D0274 | Bitewings - four radiographic images | 7.1% | 780 | 773 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 794 | 790 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 340 | 235 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 267 | 175 | $14K |
| D9110 | 4.2% | 406 | 398 | $12K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 431 | 431 | $7K |
| D1206 | Topical application of fluoride varnish | 2.2% | 352 | 350 | $6K |
4 more codes
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 officialPARAB, SUSMITA (PRESIDENT & CEO)