Dental
Signature Smile Dental LLC
Signature Smile Dental LLC was paid $11K by Medicaid between Aug 2024 and Dec 2024, across 8 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 28% of everything it billed.
33Billing provider infoSIGNATURE SMILE DENTAL LLC
BRISTOL, PA 19007
BRISTOL, PA 19007
33aNPI1881163822assigned 11/20/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims632
24DCodes billed8
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#576 of 847
Median peer was paid$37K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 632 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 28% | 122 | 118 | $3K |
| D0330 | Panoramic radiographic image | 20% | 69 | 66 | $2K |
| D1110 | Prophylaxis - adult | 15% | 49 | 48 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 82 | 77 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 136 | 133 | $949.79 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 132 | 129 | $855.91 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 28 | 28 | $537.15 |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 14 | 13 | $229.32 |
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 officialPATEL, HIRALBEN (DDS)