Dental
Flagship Smile, LLC
Flagship Smile, LLC was paid $1.75M by Medicaid between Jan 2018 and Jul 2022, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoFLAGSHIP SMILE, LLC
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1841725512assigned 05/01/2017
33bProvider typePediatric Dentist
28Total paid$1.75M
24GClaims36,380
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#35 of 144
Median peer was paid$511K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 5,184 | $214K | |
| 2019 | 8,000 | $369K | |
| 2020 | 6,304 | $309K | |
| 2021 | 10,470 | $519K | |
| 2022 | 6,422 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 1,480 | 656 | $287K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,086 | 4,057 | $205K |
| D7140 | Extraction, erupted tooth or exposed root | 9.3% | 1,704 | 924 | $162K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 4,683 | 4,649 | $133K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 1,206 | 712 | $104K |
| D1351 | Sealant - per tooth | 5.8% | 2,659 | 1,013 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,665 | 1,646 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 3,018 | 2,997 | $87K |
| D2335 | 5.0% | 529 | 225 | $87K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 2,649 | 2,616 | $78K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 3,006 | 2,916 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 2,651 | 2,324 | $54K |
15 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 424 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 3,633 | $47K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 960 | $43K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 333 | $40K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.1% | 365 | $36K |
| D2160 | 1.9% | 333 | $33K | |
| D0274 | Bitewings - four radiographic images | <1% | 338 | $15K |
| D1110 | Prophylaxis - adult | <1% | 137 | $9K |
| D3120 | <1% | 236 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 102 | $7K |
| D8670 | Periodic orthodontic treatment visit | <1% | 12 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 89 | $2K |
| D9310 | <1% | 15 | $693.00 | |
| D8660 | <1% | 12 | $372.00 | |
| D0240 | <1% | 55 | $260.00 |
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 officialBURSHTEYN, DMITRY (CEO)