Dental
Pura Vida Smiles, PC
Pura Vida Smiles, PC was paid $8K by Medicaid between Aug 2019 and Nov 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 50% of everything it billed.
33Billing provider infoPURA VIDA SMILES, PC
JACKSON, MI 49202
JACKSON, MI 49202
33aNPI1740602846assigned 01/09/2014
33bProvider typeDentist
28Total paid$8K
24GClaims176
24DCodes billed3
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#631 of 1,033
Median peer was paid$15K
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 | |
|---|---|---|---|
| 2019 | 13 | $225.00 | |
| 2024incomplete | 163 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 50% | 97 | 96 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 47% | 66 | 65 | $4K |
| D1206 | Topical application of fluoride varnish | 2.9% | 13 | 13 | $225.00 |
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 officialBERTOLLINI, JASON (PRM)
| Provider | Location | Paid |
|---|---|---|
| Tawfiq Alkilani DDS PLLC | Traverse City, MI | $360K |
| Pleasant Smiles Dental Care, PLLC | Mt Pleasant, MI | $315K |
| Gill Dental PC | Lansing, MI | $195K |
| Plev BC PLC | East Syracuse, NY | $142K |
| DR. Eldib, PLLC | Adrian, MI | $81K |
| Epp Oregon LLC | Tualatin, OR | $57K |
| Plev Sag, PLC | Saginaw, MI | $27K |
| Plev, PC | Flint, MI | $9K |
| VMLP Ah PLC | Lake Orion, MI | $1K |
| Scott Nigl Dental PC | Fort Gratiot, MI | $501.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.