Dental
Simply Smile North East
Simply Smile North East was paid $1.46M by Medicaid between Sep 2023 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoSIMPLY SMILE NORTH EAST
COLUMBIA, SC 29229
COLUMBIA, SC 29229
33aNPI1720772437assigned 06/06/2023
33bProvider typeDentist
28Total paid$1.46M
24GClaims20,712
24DCodes billed22
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#11 of 166
Median peer was paid$67K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2023 | 4,094 | $246K | |
| 2024incomplete | 16,618 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 2,275 | 1,037 | $321K |
| D7140 | Extraction, erupted tooth or exposed root | 17% | 1,750 | 942 | $245K |
| D9248 | 15% | 2,573 | 2,418 | $218K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 12% | 2,004 | 1,031 | $176K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 1,002 | 644 | $112K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 2,677 | 2,513 | $88K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 1,987 | 1,987 | $87K |
| D2934 | 3.5% | 378 | 158 | $52K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 429 | 307 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,703 | 1,680 | $23K |
| D0272 | Bitewings - two radiographic images | 1.4% | 1,055 | 1,055 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 531 | 531 | $19K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,130 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 642 | $11K |
| D2330 | <1% | 79 | $8K | |
| D1510 | <1% | 34 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 125 | $5K |
| D0120 | Dental checkup, returning patient | <1% | 146 | $4K |
| D1351 | Sealant - per tooth | <1% | 84 | $3K |
| D0330 | Panoramic radiographic image | <1% | 52 | $3K |
| D1110 | Prophylaxis - adult | <1% | 31 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 25 | $800.00 |
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 officialDAILEY, SABRINA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Simply Smile PA | Columbia, SC | $5.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.