Dental
Smile Dental
Smile Dental was paid $59K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoSMILE DENTAL
CULVER CITY, CA 90232
CULVER CITY, CA 90232
33aNPI1811196249assigned 07/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$59K
24GClaims2,758
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,733 of 2,668
Median peer was paid$173K
This provider vs. median0.3×
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 | 621 | $7K | |
| 2019 | 501 | $10K | |
| 2020 | 423 | $7K | |
| 2021 | 407 | $11K | |
| 2022 | 527 | $15K | |
| 2023 | 109 | $4K | |
| 2024incomplete | 170 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 298 | 296 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 204 | 203 | $13K |
| D0274 | Bitewings - four radiographic images | 13% | 387 | 382 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 1,168 | 513 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 417 | 411 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 79 | 78 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 26 | 26 | $1K |
| D1206 | Topical application of fluoride varnish | 1.3% | 51 | 51 | $768.50 |
| D0350 | <1% | 51 | 21 | $364.80 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $360.00 |
| D1330 | 0% | 65 | 64 | $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 officialRADULOVICH, RAD (DENTIST/OWNER)