Dental
Smile Concept PLLC
Smile Concept PLLC was paid $19K by Medicaid between Aug 2020 and Feb 2022, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoSMILE CONCEPT PLLC
ANNANDALE, VA 22003
ANNANDALE, VA 22003
33aNPI1952961971assigned 06/20/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims558
24DCodes billed10
24AFirst – last monthAug 2020 – Feb 2022
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#312 of 549
Median peer was paid$29K
This provider vs. median0.6×
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 | 37 | $518.80 | |
| 2021 | 435 | $14K | |
| 2022 | 86 | $4K |
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 | 31% | 66 | 25 | $6K |
| D1110 | Prophylaxis - adult | 20% | 82 | 81 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 85 | 84 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 21 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 120 | 115 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 88 | 85 | $972.66 |
| D9920 | 5.1% | 14 | 13 | $959.00 | |
| D0274 | Bitewings - four radiographic images | 4.4% | 31 | 30 | $841.74 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 38 | 38 | $765.70 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 13 | 13 | $435.76 |
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, MONICA (OWNER)