Dental
Smile Team PC
Smile Team PC was paid $530K by Medicaid between May 2021 and Dec 2024, across 24 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoSMILE TEAM PC
PHILADELPHIA, PA 19102
PHILADELPHIA, PA 19102
33aNPI1750888673assigned 04/07/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$530K
24GClaims25,666
24DCodes billed24
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#65 of 847
Median peer was paid$37K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2021 | 542 | $10K | |
| 2023 | 488 | $7K | |
| 2024incomplete | 24,636 | $513K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 3,886 | 3,749 | $120K |
| D0274 | Bitewings - four radiographic images | 18% | 3,924 | 3,792 | $93K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,143 | 758 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 2,628 | 2,520 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 4,404 | 4,222 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,613 | 1,576 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 4,033 | 3,850 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 494 | 202 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 641 | 397 | $28K |
| D1351 | Sealant - per tooth | 3.3% | 574 | 97 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 191 | 142 | $11K |
| D9110 | 1.7% | 349 | 322 | $9K |
12 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 139 | $6K |
| D0601 | <1% | 444 | $4K | |
| D4341 | <1% | 34 | $3K | |
| D1330 | <1% | 494 | $3K | |
| D1310 | <1% | 396 | $2K | |
| D1120 | Dental cleaning, child | <1% | 57 | $1K |
| D1320 | <1% | 81 | $1K | |
| D2331 | <1% | 20 | $861.74 | |
| D1206 | Topical application of fluoride varnish | <1% | 50 | $859.41 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 44 | $712.38 |
| D2330 | <1% | 13 | $547.71 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $401.08 |
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 officialDOESCHER, BANSI (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Smile Team PC | Philadelphia, PA | $125K |
| Smile Team PC | Philadelphia, PA | $71K |
| Smile Team | Upper Darby, PA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.