Angel Smiles Pediatric Dentistry,p.C

Angel Smiles Pediatric Dentistry,p.C was paid $1K by Medicaid between Mar 2018 and Dec 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 58% of everything it billed.

33Billing provider infoANGEL SMILES PEDIATRIC DENTISTRY,P.C
BERWYN, PA 19312

33aNPI1871746933assigned 11/02/2008

33bProvider typePediatric Dentist

28Total paid$1K

24GClaims167

24DCodes billed3

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Pennsylvania

Rank by total paid#223 of 237

Median peer was paid$109K

This provider vs. median0.0×

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	14	$280.70
2024incomplete	153	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	58%	91	88	$827.59
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	47	46	$376.25
D1120	Dental cleaning, childProphylaxis - child	15%	29	29	$213.61

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 officialCAO, SHURONG (BUSINESS OWNER)