Dental
Simply Smiles LLC
Simply Smiles LLC was paid $104K by Medicaid between Sep 2024 and Dec 2024, across 12 billing codes. Its largest line is D1355, — 35% of everything it billed.
33Billing provider infoSIMPLY SMILES LLC
MONMOUTH, ME 04259
MONMOUTH, ME 04259
33aNPI1982451605assigned 05/01/2024
33bProvider typeDental Hygienist
28Total paid$104K
24GClaims3,926
24DCodes billed12
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Maine
Rank by total paid#20 of 33
Median peer was paid$159K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2024incomplete | 3,926 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1355 | 35% | 1,829 | 112 | $36K | |
| D2940 | 17% | 306 | 70 | $18K | |
| D1351 | Sealant - per tooth | 15% | 494 | 87 | $15K |
| D1354 | 12% | 495 | 78 | $12K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 122 | 122 | $7K |
| D0190 | 3.9% | 185 | 162 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 130 | 130 | $3K |
| D1310 | 3.2% | 138 | 138 | $3K | |
| D0272 | Bitewings - two radiographic images | 2.8% | 85 | 84 | $3K |
| D1330 | 1.1% | 43 | 43 | $1K | |
| D1206 | Topical application of fluoride varnish | 1.1% | 43 | 43 | $1K |
| D0603 | 0% | 56 | 56 | $0.00 |
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 officialLALIBERTE, SHERRY (PRACTICE OWNER)