Dental
Heavenly Smiles, PA
Heavenly Smiles, PA was paid $172K by Medicaid between Aug 2022 and Dec 2024, across 12 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 22% of everything it billed.
33Billing provider infoHEAVENLY SMILES, PA
HAMPDEN, ME 04444
HAMPDEN, ME 04444
33aNPI1982294641assigned 01/26/2021
33bProvider typeDental Hygienist
28Total paid$172K
24GClaims6,357
24DCodes billed12
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Maine
Rank by total paid#15 of 33
Median peer was paid$159K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2022 | 371 | $8K | |
| 2023 | 3,058 | $80K | |
| 2024incomplete | 2,928 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 22% | 1,557 | 1,493 | $37K |
| D0190 | 21% | 1,830 | 1,732 | $37K | |
| D1110 | Prophylaxis - adult | 13% | 335 | 326 | $22K |
| D1310 | 12% | 899 | 860 | $21K | |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 391 | 372 | $19K |
| D0274 | Bitewings - four radiographic images | 5.9% | 226 | 221 | $10K |
| D1354 | 5.4% | 394 | 45 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 283 | 277 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 272 | 256 | $4K |
| D1351 | Sealant - per tooth | 2.0% | 117 | 13 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 39 | 38 | $3K |
| D1330 | <1% | 14 | 13 | $270.16 |
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 officialSMITH-DOW, FLESHIA (WONER/PARTNER)