Dental
Smile Avenue Family and Cosmetic Dentistry
Smile Avenue Family and Cosmetic Dentistry was paid $17K by Medicaid between Jun 2023 and Nov 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 44% of everything it billed.
33Billing provider infoSMILE AVENUE FAMILY AND COSMETIC DENTISTRY
COLDWATER, MI 49036
COLDWATER, MI 49036
33aNPI1992414981assigned 11/17/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims638
24DCodes billed3
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#733 of 1,554
Median peer was paid$15K
This provider vs. median1.2×
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 | 214 | $5K | |
| 2024incomplete | 424 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 44% | 308 | 308 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 175 | 175 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 155 | 154 | $4K |
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 officialJUSKUSKY, MISTY (MANAGER)