Dental
Smiles Oneonta
Smiles Oneonta was paid $283K by Medicaid between Jan 2018 and Mar 2020, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoSMILES ONEONTA
ONEONTA, AL 35121
ONEONTA, AL 35121
33aNPI1992972368assigned 05/14/2008
33bProvider typePediatric Dentist
28Total paid$283K
24GClaims10,778
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#79 of 111
Median peer was paid$708K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 5,312 | $142K | |
| 2019 | 4,688 | $122K | |
| 2020 | 778 | $19K |
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 | 16% | 630 | 481 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,592 | 1,568 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 719 | 443 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,868 | 1,844 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 2,054 | 2,023 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.0% | 1,317 | 1,280 | $25K |
| D0272 | Bitewings - two radiographic images | 4.8% | 790 | 782 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 241 | 151 | $12K |
| D0330 | Panoramic radiographic image | 4.1% | 253 | 249 | $11K |
| D1110 | Prophylaxis - adult | 3.7% | 311 | 307 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 534 | 518 | $6K |
| D0274 | Bitewings - four radiographic images | 1.4% | 175 | 173 | $4K |
6 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $3K |
| D3120 | <1% | 103 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 82 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $968.00 |
| D1206 | Topical application of fluoride varnish | <1% | 51 | $708.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $348.00 |
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 officialMARIM-EBERHARDT, JOELY (PEDIATRIC DENTIST)