Dental
Smile Zone Dentistry Clintondale PC
Smile Zone Dentistry Clintondale PC was paid $23K by Medicaid between Sep 2020 and Aug 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 70% of everything it billed.
33Billing provider infoSMILE ZONE DENTISTRY CLINTONDALE PC
CLINTONDALE, NY 12515
CLINTONDALE, NY 12515
33aNPI1740590637assigned 10/14/2010
33bProvider typeDentist
28Total paid$23K
24GClaims650
24DCodes billed7
24AFirst – last monthSep 2020 – Aug 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,008 of 1,649
Median peer was paid$49K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 35 | $0.00 | |
| 2021 | 66 | $2K | |
| 2022 | 299 | $12K | |
| 2023 | 250 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 70% | 302 | 302 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 177 | 177 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 73 | 73 | $938.20 |
| D0274 | Bitewings - four radiographic images | 3.0% | 25 | 25 | $681.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 13 | 13 | $390.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 25 | 25 | $294.52 |
| D1999 | 0% | 35 | 33 | $0.00 |
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 officialBAJAJ, SAMIR (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Smile Zone Dentistry, Port Jervis PC | Port Jervis, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.