Clinic
Dent-Al Smiles, LLC
Dent-Al Smiles, LLC was paid $773.02 by Medicaid between May 2019 and May 2019, across 2 billing codes. Its largest line is D0330, Panoramic radiographic image — 66% of everything it billed.
33Billing provider infoDENT-AL SMILES, LLC
FAIRFIELD, OH 45014
FAIRFIELD, OH 45014
33aNPI1720510001assigned 03/28/2017
33bProvider typeDental Clinic/Center
28Total paid$773.02
24GClaims29
24DCodes billed2
24AFirst – last monthMay 2019 – May 2019
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#107 of 111
Median peer was paid$236K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 29 | $773.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 66% | 17 | 16 | $509.52 |
| D0150 | Comprehensive oral evaluation - new or established patient | 34% | 12 | 12 | $263.50 |
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 officialLAZO, ALVARO (OWNER)