Dental
Smile RX Dental
Smile RX Dental was paid $324K by Medicaid between Aug 2020 and Nov 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoSMILE RX DENTAL
BOWIE, MD 20716
BOWIE, MD 20716
33aNPI1881963635assigned 12/23/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$324K
24GClaims6,898
24DCodes billed15
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#125 of 598
Median peer was paid$42K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2020 | 205 | $7K | |
| 2021 | 873 | $32K | |
| 2022 | 1,068 | $37K | |
| 2023 | 2,215 | $115K | |
| 2024incomplete | 2,537 | $132K |
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 | 27% | 667 | 397 | $87K |
| D1110 | Prophylaxis - adult | 20% | 1,001 | 980 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,673 | 1,647 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 624 | 614 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 936 | 925 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 443 | 434 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 265 | 264 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 74 | 52 | $13K |
| D0274 | Bitewings - four radiographic images | 1.7% | 240 | 239 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 116 | 114 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 39 | 27 | $4K |
| D1330 | <1% | 492 | 482 | $3K |
3 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 officialKHAN, AATIFA (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile RX Dental-Holistic Family Dentistry | Millersville, MD | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.