Dental
Smile Family Dental Group
Smile Family Dental Group was paid $385K by Medicaid between Oct 2023 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoSMILE FAMILY DENTAL GROUP
NEW YORK, NY 10027
NEW YORK, NY 10027
33aNPI1720786379assigned 02/22/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$385K
24GClaims17,303
24DCodes billed22
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#391 of 2,184
Median peer was paid$54K
This provider vs. median7.2×
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 | 3,040 | $69K | |
| 2024incomplete | 14,263 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,887 | 1,886 | $70K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 795 | 441 | $40K |
| D0274 | Bitewings - four radiographic images | 8.7% | 1,724 | 1,723 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,571 | 1,570 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 733 | 428 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 2,548 | 2,538 | $24K |
| D1351 | Sealant - per tooth | 6.1% | 722 | 183 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,017 | 1,017 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 629 | 629 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 2,386 | 2,383 | $20K |
| D9310 | 3.4% | 269 | 269 | $13K | |
| D0340 | 2.9% | 284 | 283 | $11K |
10 more codes
| D1206 | Topical application of fluoride varnish | 2.3% | 354 | $9K |
| D0470 | 2.1% | 326 | $8K | |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 530 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 113 | $6K |
| D0272 | Bitewings - two radiographic images | 1.3% | 401 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 391 | $4K |
| D0350 | <1% | 326 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 89 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 167 | $2K |
| D0330 | Panoramic radiographic image | <1% | 41 | $1K |
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 officialKIM, JAE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Reddy Gi Associates | Mesa, AZ | $6.70M |
| Central Arizona Gi & Liver Institute LLC | Gilbert, AZ | $1.70M |
| Jae Y. Kim DDS INC. | Bell Gardens, CA | $712K |
| Acumedi Health Center Acupuncture INC. | Los Angeles, CA | $23K |
| Kim Associates Medical Clinic, INC. | West Covina, CA | $386.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.