Dental
Mainely Smiles
Mainely Smiles was paid $1.25M by Medicaid between Feb 2021 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoMAINELY SMILES
PORTLAND, ME 04103
PORTLAND, ME 04103
33aNPI1992391536assigned 12/17/2020
33bProvider typeDentist
28Total paid$1.25M
24GClaims45,022
24DCodes billed29
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Maine
Rank by total paid#7 of 36
Median peer was paid$11K
This provider vs. median114×
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 | 1,999 | $38K | |
| 2022 | 4,476 | $126K | |
| 2023 | 14,177 | $414K | |
| 2024incomplete | 24,370 | $667K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 4,877 | 4,851 | $235K |
| D1206 | Topical application of fluoride varnish | 13% | 7,131 | 7,087 | $163K |
| D1354 | 13% | 6,151 | 1,375 | $161K | |
| D0190 | 12% | 7,251 | 7,192 | $144K | |
| D1351 | Sealant - per tooth | 7.9% | 3,243 | 626 | $98K |
| D1110 | Prophylaxis - adult | 6.3% | 1,238 | 1,234 | $79K |
| D2940 | 6.0% | 1,257 | 309 | $74K | |
| D4341 | 3.0% | 294 | 98 | $37K | |
| D0274 | Bitewings - four radiographic images | 2.7% | 801 | 796 | $34K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 579 | 577 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 905 | 902 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 431 | 428 | $29K |
17 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 461 | $29K |
| D0272 | Bitewings - two radiographic images | 1.6% | 610 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 973 | $19K |
| D4910 | 1.1% | 148 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 933 | $13K |
| D0330 | Panoramic radiographic image | 1.0% | 203 | $13K |
| D5110 | <1% | 12 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 37 | $5K |
| D1330 | <1% | 123 | $3K | |
| D9920 | <1% | 23 | $1K | |
| D1310 | <1% | 34 | $877.14 | |
| D0270 | <1% | 14 | $265.92 | |
| D0602 | 0% | 1,027 | $0.00 | |
| D0603 | 0% | 2,222 | $0.00 | |
| D0601 | 0% | 257 | $0.00 | |
| D0350 | 0% | 2,432 | $0.00 | |
| D9996 | 0% | 1,355 | $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 officialLOMBARDI, MICHAEL (DIRECTOR OF FINANCE)