Clinic
Dream Smiles Pediatric Dentistry of Gaithersburg
Dream Smiles Pediatric Dentistry of Gaithersburg was paid $1.66M by Medicaid between Aug 2021 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoDREAM SMILES PEDIATRIC DENTISTRY OF GAITHERSBURG
GAITHERSBURG, MD 20878
GAITHERSBURG, MD 20878
33aNPI1992379168assigned 05/13/2021
33bProvider typeDental Clinic/Center
28Total paid$1.66M
24GClaims36,899
24DCodes billed26
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#25 of 133
Median peer was paid$216K
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 2021 | 895 | $35K | |
| 2022 | 7,104 | $340K | |
| 2023 | 12,950 | $567K | |
| 2024incomplete | 15,950 | $717K |
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 | 17% | 2,205 | 1,261 | $286K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,790 | 4,724 | $223K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 1,017 | 447 | $171K |
| D1206 | Topical application of fluoride varnish | 9.0% | 5,929 | 5,849 | $150K |
| D1351 | Sealant - per tooth | 8.9% | 4,082 | 1,301 | $148K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 3,433 | 3,403 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 1,650 | 1,604 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 671 | 356 | $79K |
| D9248 | 4.3% | 388 | 355 | $71K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 600 | 390 | $60K |
| D3120 | 3.2% | 1,553 | 748 | $52K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 2,336 | 2,064 | $45K |
14 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 259 | $40K |
| D0330 | Panoramic radiographic image | 1.9% | 713 | $31K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,736 | $27K |
| D1330 | 1.2% | 3,038 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,216 | $13K |
| D2940 | <1% | 271 | $12K | |
| D1110 | Prophylaxis - adult | <1% | 173 | $11K |
| D9310 | <1% | 219 | $10K | |
| D0274 | Bitewings - four radiographic images | <1% | 266 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 108 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 119 | $1K |
| D0240 | <1% | 88 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 24 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | $322.00 |
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 officialJAMSHIDI, FIROUZEH (PEDIATRIC DENTIST)