Clinic
Smile Premier a Dental Hygiene Practice of Elizabeth Brutus Rdhap Cor
Smile Premier a Dental Hygiene Practice of Elizabeth Brutus Rdhap Cor was paid $389K by Medicaid between Apr 2021 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoSMILE PREMIER A DENTAL HYGIENE PRACTICE OF ELIZABETH BRUTUS RDHAP COR
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
33aNPI1861094971assigned 11/12/2020
33bProvider typeDental Clinic/Center
28Total paid$389K
24GClaims9,575
24DCodes billed11
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#433 of 1,135
Median peer was paid$200K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 477 | $16K | |
| 2022 | 1,115 | $53K | |
| 2023 | 4,000 | $148K | |
| 2024incomplete | 3,983 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 2,104 | 2,076 | $184K |
| D0210 | Intraoral - complete series of radiographic images | 24% | 1,981 | 1,953 | $94K |
| D1206 | Topical application of fluoride varnish | 12% | 2,619 | 2,586 | $47K |
| D1351 | Sealant - per tooth | 7.7% | 802 | 215 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 473 | 472 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,141 | 576 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 132 | 132 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 139 | 139 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 136 | 136 | $2K |
| D9410 | <1% | 31 | 31 | $868.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | 17 | $255.00 |
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 officialBRUTUS, ELIZABETH (CEO)