Dental
Smile Doctor INC.
Smile Doctor INC. was paid $224K by Medicaid between Jan 2018 and Mar 2019, across 21 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoSMILE DOCTOR INC.
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
33aNPI1689928376assigned 11/01/2012
33bProvider typeDentist
28Total paid$224K
24GClaims10,177
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#121 of 335
Median peer was paid$30K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2018 | 9,447 | $211K | |
| 2019 | 730 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 19% | 1,545 | 336 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 844 | 302 | $36K |
| D4341 | 15% | 1,534 | 372 | $34K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 595 | 519 | $13K |
| D1110 | Prophylaxis - adult | 5.9% | 455 | 403 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.3% | 205 | 113 | $12K |
| D0330 | Panoramic radiographic image | 4.9% | 550 | 474 | $11K |
| D2330 | 4.3% | 336 | 112 | $10K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 449 | 410 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 461 | 365 | $7K |
| D0274 | Bitewings - four radiographic images | 3.2% | 867 | 779 | $7K |
| D2332 | 2.8% | 103 | 51 | $6K |
9 more codes
| D2331 | 2.5% | 159 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 478 | $6K |
| D1206 | Topical application of fluoride varnish | 2.3% | 470 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 573 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 29 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 472 | $736.08 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 18 | $463.13 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 21 | $360.00 |
| D1120 | Dental cleaning, child | <1% | 13 | $275.76 |
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 officialJANG, HELEN (PRESIDENT)