Dental
North Liberty Smiles PLLC
North Liberty Smiles PLLC was paid $16K by Medicaid between Jun 2019 and Feb 2020, across 6 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 37% of everything it billed.
33Billing provider infoNORTH LIBERTY SMILES PLLC
NORTH LIBERTY, IA 52317
NORTH LIBERTY, IA 52317
33aNPI1912466582assigned 03/13/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims479
24DCodes billed6
24AFirst – last monthJun 2019 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#242 of 437
Median peer was paid$22K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 396 | $14K | |
| 2020 | 83 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 37% | 63 | 16 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 66 | 63 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 129 | 112 | $3K |
| D1110 | Prophylaxis - adult | 15% | 74 | 64 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 126 | 101 | $1K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 21 | 20 | $511.80 |
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 officialCHANG, PE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Omni Dental, LLC | Albuquerque, NM | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.