Dental
The Smilist Dental PLLC
The Smilist Dental PLLC was paid $6.16M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoTHE SMILIST DENTAL PLLC
ROCKVILLE CENTRE, NY 11570
ROCKVILLE CENTRE, NY 11570
33aNPI1760806624assigned 02/13/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$6.16M
24GClaims146,618
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#15 of 2,184
Median peer was paid$54K
This provider vs. median115×
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 | |
|---|---|---|---|
| 2018 | 8,141 | $186K | |
| 2019 | 11,808 | $309K | |
| 2020 | 10,180 | $293K | |
| 2021 | 28,687 | $1.24M | |
| 2022 | 30,703 | $1.43M | |
| 2023 | 31,535 | $1.50M | |
| 2024incomplete | 25,564 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 22,091 | 22,083 | $1.19M |
| D2750 | 14% | 1,322 | 996 | $859K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 19,551 | 19,548 | $558K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 4,554 | 3,363 | $458K |
| D0274 | Bitewings - four radiographic images | 6.4% | 13,730 | 13,727 | $391K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 22,298 | 22,104 | $308K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 8,574 | 8,511 | $296K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.5% | 2,357 | 1,066 | $280K |
| D2954 | 3.5% | 1,349 | 1,132 | $217K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 7,334 | 7,331 | $193K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 3,593 | 3,592 | $163K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 16,522 | 16,199 | $162K |
30 more codes
| D7240 | Removal of impacted tooth - completely bony | 2.0% | 322 | $122K |
| D9243 | 1.9% | 812 | $116K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 1,910 | $109K |
| D0330 | Panoramic radiographic image | 1.7% | 3,015 | $105K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 5,804 | $86K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 748 | $83K |
| D1351 | Sealant - per tooth | 1.3% | 936 | $80K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.0% | 155 | $63K |
| D9990 | <1% | 2,561 | $56K | |
| D9310 | <1% | 715 | $55K | |
| D9239 | <1% | 794 | $53K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 155 | $37K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,146 | $31K |
| D0160 | <1% | 879 | $21K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,084 | $21K |
| D1206 | Topical application of fluoride varnish | <1% | 421 | $15K |
| D0340 | <1% | 116 | $6K | |
| D9110 | <1% | 211 | $5K | |
| D4341 | <1% | 98 | $5K | |
| D3320 | <1% | 14 | $4K | |
| D0270 | <1% | 197 | $3K | |
| D2332 | <1% | 20 | $3K | |
| D8660 | <1% | 54 | $1K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $1K |
| D2330 | <1% | 21 | $997.48 | |
| D0350 | <1% | 57 | $741.28 | |
| D9610 | <1% | 13 | $185.15 | |
| D1320 | <1% | 12 | $96.00 | |
| D0431 | 0% | 38 | $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 officialKHORSANDI, JAY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Smilist Dental of New Jersey LLC | Garwood, NJ | $10.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.