Dental
A Great Smile Dental Center LLC
A Great Smile Dental Center LLC was paid $138K by Medicaid between Jan 2018 and Mar 2022, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoA GREAT SMILE DENTAL CENTER LLC
WASHINGTON, DC 20012
WASHINGTON, DC 20012
33aNPI1811188014assigned 08/05/2007
33bProvider typeDentist
28Total paid$138K
24GClaims3,763
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in District of Columbia
Rank by total paid#17 of 66
Median peer was paid$30K
This provider vs. median4.7×
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 | 1,550 | $57K | |
| 2019 | 715 | $28K | |
| 2020 | 476 | $17K | |
| 2021 | 914 | $33K | |
| 2022 | 108 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 549 | 542 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 973 | 964 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 1,112 | 1,103 | $27K |
| D0274 | Bitewings - four radiographic images | 15% | 521 | 517 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 50 | 27 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 134 | 134 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 348 | 312 | $6K |
| D0330 | Panoramic radiographic image | 2.4% | 45 | 45 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $763.53 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19 | 12 | $257.07 |
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 officialSHAW, MARLENE (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| A Great Smile Dental Care PLLC | Washington, DC | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.