Dental
Victor Smiles Dental, PLLC
Victor Smiles Dental, PLLC was paid $268K by Medicaid between Feb 2023 and Dec 2024, across 19 billing codes. Its largest line is D9230, Inhalation of nitrous oxide / analgesia, anxiolysis — 19% of everything it billed.
33Billing provider infoVICTOR SMILES DENTAL, PLLC
VICTOR, NY 14564
VICTOR, NY 14564
33aNPI1831837079assigned 05/26/2022
33bProvider typePediatric Dentist
28Total paid$268K
24GClaims6,888
24DCodes billed19
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#225 of 514
Median peer was paid$196K
This provider vs. median1.4×
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 | 1,929 | $66K | |
| 2024incomplete | 4,959 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 19% | 757 | 716 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,301 | 1,301 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 576 | 331 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 939 | 939 | $24K |
| D1206 | Topical application of fluoride varnish | 7.7% | 764 | 764 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 509 | 509 | $14K |
| D1351 | Sealant - per tooth | 5.0% | 387 | 139 | $13K |
| D0274 | Bitewings - four radiographic images | 2.8% | 221 | 221 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 141 | 100 | $7K |
| D0272 | Bitewings - two radiographic images | 2.4% | 360 | 360 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 396 | 396 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 118 | 69 | $5K |
7 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 56 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 49 | $5K |
| D1110 | Prophylaxis - adult | 1.8% | 110 | $5K |
| D0330 | Panoramic radiographic image | 1.3% | 74 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 22 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 74 | $1K |
| D0240 | <1% | 34 | $547.91 |
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 officialMORELLO, JENNIFER (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| White Spruce Smiles Dental, PLLC | Rochester, NY | $349K |
| Finger Lakes Dental Care, PC | Canandaigua, NY | $264K |
| Finger Lakes Dental Care of Naples, PLLC | Naples, NY | $153K |
| Finger Lakes Dental Care of Palmyra, PLLC | Palmyra, NY | $145K |
| Finger Lakes Dental Care of Victor, PLLC | Victor, NY | $82K |
| Finger Lakes Dental Care of West Henrietta, PLLC | Henrietta, NY | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.