Clinic
Broad Smile Dentistry
Broad Smile Dentistry was paid $613K by Medicaid between Jan 2020 and Sep 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoBROAD SMILE DENTISTRY
HENRICO, VA 23233
HENRICO, VA 23233
33aNPI1770042723assigned 03/19/2019
33bProvider typeDental Clinic/Center
28Total paid$613K
24GClaims14,525
24DCodes billed17
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#33 of 142
Median peer was paid$75K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2020 | 222 | $7K | |
| 2021 | 1,806 | $97K | |
| 2022 | 4,748 | $292K | |
| 2023 | 5,281 | $216K | |
| 2024incomplete | 2,468 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 2,606 | 1,106 | $190K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 862 | 567 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,124 | 572 | $82K |
| D1110 | Prophylaxis - adult | 13% | 2,406 | 2,386 | $81K |
| D0330 | Panoramic radiographic image | 7.8% | 1,160 | 1,112 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,294 | 1,220 | $31K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,303 | 1,288 | $25K |
| D2740 | Crown - porcelain/ceramic | 3.2% | 73 | 58 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 1,359 | 1,346 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 795 | 745 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 990 | 921 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 343 | 341 | $5K |
5 more codes
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 officialKOH, MYUNGSUK (OFFICER)