Greenbelt Smiles, LLC

Greenbelt Smiles, LLC was paid $80K by Medicaid between Apr 2018 and Oct 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoGREENBELT SMILES, LLC
GREENBELT, MD 20770

33aNPI1699030478assigned 07/09/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$80K

24GClaims2,425

24DCodes billed9

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#244 of 598

Median peer was paid$42K

This provider vs. median1.9×

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	99	$3K
2019	400	$12K
2020	228	$7K
2021	434	$13K
2022	186	$6K
2023	713	$26K
2024incomplete	365	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	757	749	$23K
D1206	Topical application of fluoride varnish	24%	752	746	$19K
D1110	Prophylaxis - adult	18%	233	228	$15K
D1120	Dental cleaning, childProphylaxis - child	15%	276	276	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.9%	38	24	$5K
D0274	Bitewings - four radiographic images	3.3%	118	112	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	50	44	$2K
D0230	Intraoral - periapical each additional radiographic image	1.4%	94	87	$1K
D0220	Intraoral - periapical first radiographic image	1.2%	107	99	$983.80

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 officialBUSTILLO, MARTHA (DMD)