Clinic
Maverick Smiles, LLC
Maverick Smiles, LLC was paid $1.54M by Medicaid between Jan 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoMAVERICK SMILES, LLC
MAULDIN, SC 29662
MAULDIN, SC 29662
33aNPI1689227381assigned 07/22/2019
33bProvider typeDental Clinic/Center
28Total paid$1.54M
24GClaims46,734
24DCodes billed24
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#17 of 68
Median peer was paid$121K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 4,458 | $176K | |
| 2021 | 11,045 | $404K | |
| 2022 | 12,097 | $399K | |
| 2023 | 9,433 | $255K | |
| 2024incomplete | 9,701 | $308K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 7,029 | 7,029 | $243K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 6,928 | 6,928 | $164K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,434 | 932 | $143K |
| D1206 | Topical application of fluoride varnish | 9.0% | 8,438 | 8,438 | $138K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.9% | 1,026 | 345 | $121K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 1,413 | 789 | $112K |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 1,110 | 607 | $103K |
| D1110 | Prophylaxis - adult | 6.5% | 2,003 | 2,003 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 1,785 | 1,785 | $72K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 1,775 | 1,742 | $56K |
| D0272 | Bitewings - two radiographic images | 3.6% | 2,942 | 2,942 | $56K |
| D0330 | Panoramic radiographic image | 2.4% | 748 | 748 | $37K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 2,902 | $37K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 953 | $36K |
| D1351 | Sealant - per tooth | 2.3% | 1,211 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 3,394 | $35K |
| D9420 | <1% | 182 | $15K | |
| D0240 | <1% | 998 | $15K | |
| D9310 | <1% | 128 | $8K | |
| D2330 | <1% | 83 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 116 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 97 | $3K |
| D2332 | <1% | 22 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | $1K |
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 officialHUGHES, MARY ALICE (OWNER)