Dental
Smile Ithaca PLLC
Smile Ithaca PLLC was paid $254K by Medicaid between Aug 2021 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoSMILE ITHACA PLLC
ITHACA, MI 48847
ITHACA, MI 48847
33aNPI1922677335assigned 06/21/2021
33bProvider typePediatric Dentist
28Total paid$254K
24GClaims7,078
24DCodes billed16
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#91 of 153
Median peer was paid$464K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 254 | $5K | |
| 2022 | 1,351 | $40K | |
| 2023 | 2,131 | $70K | |
| 2024incomplete | 3,342 | $138K |
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 | 19% | 395 | 233 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,138 | 1,138 | $44K |
| D1206 | Topical application of fluoride varnish | 13% | 1,355 | 1,355 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 293 | 178 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 831 | 831 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 415 | 415 | $18K |
| D1110 | Prophylaxis - adult | 6.2% | 325 | 325 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 770 | 741 | $12K |
| D0274 | Bitewings - four radiographic images | 3.5% | 318 | 318 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 969 | 467 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 110 | 110 | $7K |
| D1351 | Sealant - per tooth | 1.0% | 87 | 25 | $3K |
4 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 officialRIOPELLE, DARREN (OWNER, CEO)
| Provider | Location | Paid |
|---|---|---|
| Darren Riopelle D.D.S. | Grand Haven, MI | $7.18M |
| Smile Cascade, P.C. | Grand Rapids, MI | $2.11M |
| Smile South Holland | Holland, MI | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.