Clinic
My Smile for Life
My Smile for Life was paid $89K by Medicaid between Dec 2023 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoMY SMILE FOR LIFE
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
33aNPI1881346427assigned 01/25/2022
33bProvider typeDental Clinic/Center
28Total paid$89K
24GClaims3,872
24DCodes billed18
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#37 of 78
Median peer was paid$70K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2023 | 101 | $2K | |
| 2024incomplete | 3,771 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 973 | 898 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 683 | 643 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 249 | 230 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 412 | 377 | $8K |
| D0274 | Bitewings - four radiographic images | 6.9% | 280 | 264 | $6K |
| D1354 | 3.9% | 172 | 24 | $3K | |
| D1351 | Sealant - per tooth | 3.7% | 154 | 14 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 70 | 69 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 381 | 325 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 45 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 230 | 213 | $2K |
| D2954 | 1.5% | 17 | 12 | $1K |
6 more codes
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 officialSEETHARAMN, VIJI (DENTIST/OWNER)