Clinic
Smile Spot LLC
Smile Spot LLC was paid $1.16M by Medicaid between Jan 2018 and May 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoSMILE SPOT LLC
SOUTHBURY, CT 06488
SOUTHBURY, CT 06488
33aNPI1720353113assigned 03/19/2012
33bProvider typeDental Clinic/Center
28Total paid$1.16M
24GClaims30,936
24DCodes billed14
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Connecticut
Rank by total paid#17 of 78
Median peer was paid$192K
This provider vs. median6.1×
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 | 5,812 | $232K | |
| 2019 | 7,238 | $280K | |
| 2020 | 5,168 | $191K | |
| 2021 | 4,593 | $167K | |
| 2022 | 3,837 | $137K | |
| 2023 | 2,974 | $106K | |
| 2024incomplete | 1,314 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 7,878 | 7,855 | $351K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 6,743 | 6,721 | $229K |
| D1206 | Topical application of fluoride varnish | 19% | 7,936 | 7,911 | $223K |
| D1351 | Sealant - per tooth | 9.7% | 2,912 | 1,090 | $113K |
| D0330 | Panoramic radiographic image | 5.5% | 772 | 771 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 983 | 980 | $62K |
| D0272 | Bitewings - two radiographic images | 5.3% | 1,966 | 1,961 | $61K |
| D0240 | 1.2% | 758 | 753 | $14K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 51 | 30 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 154 | 133 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 168 | 168 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 415 | 404 | $8K |
2 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 officialKEST, STEPHEN (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| TSM1 LLC | Oxford, CT | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.