Clinic
Smile City LLC
Smile City LLC was paid $70K by Medicaid between Oct 2020 and Nov 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoSMILE CITY LLC
SHARON HILL, PA 19079
SHARON HILL, PA 19079
33aNPI1699213074assigned 02/06/2017
33bProvider typeDental Clinic/Center
28Total paid$70K
24GClaims3,621
24DCodes billed14
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#40 of 78
Median peer was paid$70K
This provider vs. median1.0×
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 | 872 | $20K | |
| 2021 | 1,777 | $37K | |
| 2024incomplete | 972 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 308 | 115 | $16K |
| D0274 | Bitewings - four radiographic images | 22% | 580 | 578 | $15K |
| D1110 | Prophylaxis - adult | 16% | 339 | 336 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 743 | 729 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 293 | 291 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.4% | 688 | 677 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 260 | 259 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 80 | 36 | $3K |
| D1206 | Topical application of fluoride varnish | 1.2% | 51 | 51 | $873.45 |
| D1330 | <1% | 120 | 118 | $598.60 | |
| D9110 | <1% | 20 | 20 | $547.95 | |
| D1310 | <1% | 106 | 104 | $534.82 |
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 officialRAMA, SRUJANA (PRESIDENT)