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    OpenPayerNPI Medicare & MedicaidA Great Smile Dental Care PLLC
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    A Great Smile Dental Care PLLC — Billing Profile & Reimbursement Data

    NPI 1275812729 · Washington, DC · Dentist

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    A Great Smile Dental Care PLLC is a dentist provider located in Washington, District of Columbia. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationA Great Smile Dental Care PLLC
    Address2750 14th St Nw
    CityWashington
    StateDC
    ZIP20009
    TaxonomyDentist
    NPI EnumeratedAugust 15, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$87K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2750Crown - porcelain fused to high noble metal40$500$21K
    D0274N/A290$40$10.9K
    D0120Periodic oral evaluation - established patient320$30$10.3K
    D3330N/A20$580$8.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth100$70$6.9K
    D1208Topical application of fluoride - excluding varnish270$30$6.8K
    D0220Intraoral - periapical first radiographic image380$20$5.7K
    D0140Limited oral evaluation – problem focused110$50$5K
    D0330N/A80$60$4.7K
    D2392Post 2 surface resin‑based composite20$130$2.5K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. District of Columbia median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D3330N/A172080$570$253.3K
    D2750Crown - porcelain fused to high noble metal2530150$470$170.1K
    D2392Post 2 surface resin‑based composite7780230$120$148.6K
    D1120Prophylaxis–child103110150$40$90.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth115160330$60$89.6K
    D0120Periodic oral evaluation - established patient91180320$30$63.7K
    D0150Comprehensive oral evaluation – new or established patient115150170$60$44.1K
    D0274N/A55140150$40$42.5K
    D1208Topical application of fluoride - excluding varnish69150210$20$40.3K
    D0330N/A77120170$60$37.7K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as A Great Smile Dental Care PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$56.6M
    Unity Health Care, Inc.DCFederally Qualified Health Center (FQHC)$0$48M
    Community Of Hope, IncDCFederally Qualified Health Center (FQHC)$0$3.6M
    La Clinica Del Pueblo, Inc.DCFederally Qualified Health Center (FQHC)$0$2.7M
    Core Dc LLCDCCase Management Agency$0$2.6M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$2.3M
    Sharmin Dental Clinic, P.C.DCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    Nuvaya, IncDCSubstance Abuse Rehabilitation Facility$0$1.6M
    Samuel AntwiDCFamily Nurse Practitioner$16K$1.5M
    Lenox Medical Supply Services, LLCDCDurable Medical Equipment & Medical Supplies$0$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    A Great Smile Dental Care PLLC — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia