Clinic
Simply Dental of Londonderry Miles of Smiles
Simply Dental of Londonderry Miles of Smiles was paid $104K by Medicaid between Mar 2023 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoSIMPLY DENTAL OF LONDONDERRY MILES OF SMILES
LONDONDERRY, NH 03053
LONDONDERRY, NH 03053
33aNPI1881305928assigned 12/09/2022
33bProvider typeDental Clinic/Center
28Total paid$104K
24GClaims3,113
24DCodes billed10
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Hampshire
Rank by total paid#6 of 20
Median peer was paid$27K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2023 | 1,706 | $53K | |
| 2024incomplete | 1,407 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 683 | 656 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 732 | 720 | $25K |
| D1206 | Topical application of fluoride varnish | 14% | 718 | 699 | $15K |
| D1110 | Prophylaxis - adult | 14% | 257 | 250 | $14K |
| D0274 | Bitewings - four radiographic images | 8.9% | 259 | 255 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 278 | 270 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 26 | 14 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 50 | 47 | $3K |
| D0330 | Panoramic radiographic image | 2.3% | 49 | 46 | $2K |
| D1351 | Sealant - per tooth | 2.1% | 61 | 15 | $2K |
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 officialHODGERNEY, AIMEE (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry and Orthodontics PLLC | New Britain, CT | $4.90M |
| Nine West Main Dental, LLC | West Brookfield, MA | $1.02M |
| Simply Orthodontics of Marlborough, PLLC | Marlborough, MA | $162K |
| Super Dental of Worcester PLLC | Worcester, MA | $120K |
| Simply Dental and Orthodontics of Wayland ,PLLC | Wayland, MA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.