Smilebrite LLC

Smilebrite LLC was paid $148.47 by Medicaid between Jun 2018 and Aug 2018, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 70% of everything it billed.

33Billing provider infoSMILEBRITE LLC
VALPARAISO, IN 46383

33aNPI1972054286assigned 10/21/2016

33bProvider typePediatric Dentist

28Total paid$148.47

24GClaims61

24DCodes billed3

24AFirst – last monthJun 2018 – Aug 2018

Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#149 of 155

Median peer was paid$414K

This provider vs. median0.0×

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
2018	61	$148.47

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	70%	28	26	$103.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	16	15	$22.58
D1208	Topical application of fluoride, excluding varnish	15%	17	16	$22.39

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 officialDELUMPA FOLKE, BERNADETTE (SOLE OWNER/PEDIATRIC DENTIST)