Dental
Super Smile Center of Bethesda
Super Smile Center of Bethesda was paid $129K by Medicaid between Jan 2023 and Dec 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoSUPER SMILE CENTER OF BETHESDA
BETHESDA, MD 20817
BETHESDA, MD 20817
33aNPI1972135291assigned 02/05/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$129K
24GClaims2,542
24DCodes billed9
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#214 of 598
Median peer was paid$42K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2023 | 1,717 | $95K | |
| 2024incomplete | 825 | $34K |
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 | 21% | 226 | 79 | $27K |
| D1110 | Prophylaxis - adult | 21% | 423 | 409 | $27K |
| D0140 | Limited oral evaluation - problem focused | 20% | 557 | 434 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.8% | 239 | 225 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 462 | 447 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.2% | 71 | 43 | $11K |
| D0330 | Panoramic radiographic image | 6.3% | 187 | 176 | $8K |
| D0274 | Bitewings - four radiographic images | 4.1% | 232 | 221 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 145 | 121 | $2K |
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 officialSHROFF, AMISHA (DENTIST)