Dental
Smile Castle Pediatric Dentistry, LLC
Smile Castle Pediatric Dentistry, LLC was paid $5.27M by Medicaid between Jul 2019 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoSMILE CASTLE PEDIATRIC DENTISTRY, LLC
CALIFORNIA, MD 20619
CALIFORNIA, MD 20619
33aNPI1841720497assigned 06/15/2017
33bProvider typePediatric Dentist
28Total paid$5.27M
24GClaims131,588
24DCodes billed29
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#13 of 150
Median peer was paid$536K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2019 | 7,348 | $305K | |
| 2020 | 19,550 | $790K | |
| 2021 | 26,165 | $1.05M | |
| 2022 | 25,089 | $964K | |
| 2023 | 26,614 | $1.06M | |
| 2024incomplete | 26,822 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 19,031 | 18,681 | $842K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 5,964 | 3,289 | $744K |
| D1351 | Sealant - per tooth | 11% | 16,670 | 4,141 | $573K |
| D1206 | Topical application of fluoride varnish | 10% | 22,221 | 21,821 | $551K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 18,019 | 17,697 | $539K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 4,422 | 2,568 | $436K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.7% | 1,921 | 746 | $302K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 1,929 | 1,138 | $210K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 3,653 | 3,589 | $192K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 7,261 | 6,849 | $134K |
| D3120 | 2.4% | 3,734 | 1,555 | $128K | |
| D1110 | Prophylaxis - adult | 2.3% | 1,971 | 1,941 | $121K |
17 more codes
| D2940 | 2.3% | 2,412 | $119K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 7,704 | $118K |
| D0330 | Panoramic radiographic image | 1.4% | 1,725 | $74K |
| D1330 | <1% | 7,882 | $50K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 800 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 165 | $25K |
| D0274 | Bitewings - four radiographic images | <1% | 997 | $23K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,064 | $20K |
| D2330 | <1% | 100 | $8K | |
| D2335 | <1% | 47 | $7K | |
| D9248 | <1% | 26 | $5K | |
| D7961 | <1% | 76 | $5K | |
| D0240 | <1% | 363 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 372 | $3K |
| D7962 | <1% | 30 | $2K | |
| D1510 | <1% | 12 | $1K | |
| D1354 | <1% | 17 | $179.35 |
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 officialHWANG, EUN (OWNER DOCTOR)