Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Superb Smiles Dental Care LLC

Superb Smiles Dental Care LLC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoSUPERB SMILES DENTAL CARE LLC
RUSHVILLE, IN 46173
33aNPI1942606959assigned 11/18/2014
33bProvider typeDentist
28Total paid$1.14M
24GClaims36,431
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#53 of 452
Median peer was paid$59K
This provider vs. median19×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,738$49K
20197,612$305K
20206,020$228K
20215,935$219K
20224,312$140K
20233,538$115K
2024incomplete2,276$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 19% 5,099 4,766 $216K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 7,584 7,087 $151K
D2150 Silver amalgam - two surfaces, primary or permanent 10% 1,843 1,114 $115K
D7140 Extraction, erupted tooth or exposed root 9.0% 1,498 791 $102K
D0330 Panoramic radiographic image 7.5% 1,637 1,522 $86K
D0274 Bitewings - four radiographic images 7.4% 2,818 2,629 $85K
D1120 Dental cleaning, childProphylaxis - child 6.2% 2,733 2,571 $71K
D0140 Limited oral evaluation - problem focused 5.5% 2,019 1,842 $62K
D1206 Topical application of fluoride varnish 5.0% 2,941 2,731 $57K
D2140 4.1% 1,013 666 $47K
D1208 Topical application of fluoride, excluding varnish 2.8% 1,965 1,842 $32K
D0150 Comprehensive oral evaluation - new or established patient 2.4% 979 897 $28K
9 more codes
D0272 Bitewings - two radiographic images 2.4% 1,452 $27K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.6% 918 $18K
D0210 Intraoral - complete series of radiographic images 1.1% 520 $12K
D2160 <1% 140 $11K
D0220 Intraoral - periapical first radiographic image <1% 951 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 60 $5K
D1351 Sealant - per tooth <1% 223 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 24 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 14 $161.00

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 officialMORGAN, JAMIE (PARTNER/DENTIST)