Clinic
Healthy Smiles Dental Center
Healthy Smiles Dental Center was paid $25K by Medicaid between Sep 2024 and Nov 2024, across 9 billing codes. Its largest line is D2752, — 49% of everything it billed.
33Billing provider infoHEALTHY SMILES DENTAL CENTER
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
33aNPI1770317026assigned 08/29/2024
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims789
24DCodes billed9
24AFirst – last monthSep 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alabama
Rank by total paid#31 of 59
Median peer was paid$28K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 789 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2752 | 49% | 63 | 15 | $12K | |
| D1110 | Prophylaxis - adult | 18% | 135 | 124 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 171 | 159 | $3K |
| D0274 | Bitewings - four radiographic images | 7.3% | 119 | 109 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 117 | 113 | $2K |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 55 | 45 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 19 | 18 | $308.00 |
| D0272 | Bitewings - two radiographic images | <1% | 18 | 17 | $245.70 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 92 | 35 | $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 officialGRIFFIN, JACOB (DENTIST)