Dental
Smile Family Dentist
Smile Family Dentist was paid $931.75 by Medicaid between Mar 2023 and Mar 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoSMILE FAMILY DENTIST
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1811240781assigned 10/17/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$931.75
24GClaims40
24DCodes billed3
24AFirst – last monthMar 2023 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#2,001 of 2,184
Median peer was paid$54K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 40 | $931.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 14 | 14 | $535.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 13 | 13 | $276.25 |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 13 | 13 | $120.00 |
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 officialLETIZIA, JOHN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Laurel Medical Supplies, INC. | Ebensburg, PA | $2.26M |
| Smile Family Dentist | New York, NY | $688K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.