Dental
My Smile Experience
My Smile Experience was paid $356.00 by Medicaid between Oct 2024 and Oct 2024, across 2 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 54% of everything it billed.
33Billing provider infoMY SMILE EXPERIENCE
SALEM, NH 03079
SALEM, NH 03079
33aNPI1720617392assigned 04/06/2020
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$356.00
24GClaims24
24DCodes billed2
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New Hampshire
Rank by total paid#20 of 20
Median peer was paid$134K
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 | |
|---|---|---|---|
| 2024incomplete | 24 | $356.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 54% | 12 | 12 | $192.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 46% | 12 | 12 | $164.00 |
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 officialBUTT, MOHAMED (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR Butts Orthodontics PC | Somerville, MA | $439K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.