Dental
Superior Smiles
Superior Smiles was paid $3.97M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoSUPERIOR SMILES
HANCOCK, MI 49930
HANCOCK, MI 49930
33aNPI1861703258assigned 06/30/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$3.97M
24GClaims77,987
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#18 of 1,554
Median peer was paid$15K
This provider vs. median274×
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 | 9,374 | $446K | |
| 2019 | 10,585 | $502K | |
| 2020 | 8,949 | $442K | |
| 2021 | 12,290 | $646K | |
| 2022 | 12,722 | $642K | |
| 2023 | 12,782 | $673K | |
| 2024incomplete | 11,285 | $622K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 6,483 | 4,171 | $794K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 5,114 | 3,533 | $471K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 13,037 | 13,010 | $384K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 9,118 | 9,088 | $373K |
| D1110 | Prophylaxis - adult | 8.3% | 6,441 | 6,420 | $330K |
| D1206 | Topical application of fluoride varnish | 6.8% | 10,094 | 10,044 | $271K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 2,305 | 1,259 | $201K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 899 | 400 | $176K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.3% | 1,118 | 891 | $169K |
| D0274 | Bitewings - four radiographic images | 3.4% | 4,045 | 4,024 | $136K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 2,178 | 2,150 | $110K |
| D0272 | Bitewings - two radiographic images | 2.7% | 4,335 | 4,310 | $108K |
17 more codes
| D0140 | Limited oral evaluation - problem focused | 1.7% | 1,443 | $67K |
| D2330 | 1.7% | 797 | $67K | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 3,347 | $58K |
| D1351 | Sealant - per tooth | 1.3% | 1,836 | $53K |
| D2331 | 1.2% | 480 | $50K | |
| D0240 | <1% | 1,780 | $38K | |
| D0330 | Panoramic radiographic image | <1% | 506 | $34K |
| D2332 | <1% | 179 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 229 | $16K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 358 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,269 | $14K |
| D2335 | <1% | 70 | $12K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 20 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $318.00 |
| D0601 | 0% | 27 | $0.00 | |
| D0602 | 0% | 246 | $0.00 | |
| D0603 | 0% | 219 | $0.00 |
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 officialHEBNER, NICOLE (OFFICE MANAGER)