Clinic
Smile Galaxy Pediatric Dentistry
Smile Galaxy Pediatric Dentistry was paid $1.06M by Medicaid between Oct 2021 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoSMILE GALAXY PEDIATRIC DENTISTRY
OKLAHOMA CITY, OK 73159
OKLAHOMA CITY, OK 73159
33aNPI1023034451assigned 07/15/2006
33bProvider typeDental Clinic/Center
28Total paid$1.06M
24GClaims32,416
24DCodes billed22
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#16 of 112
Median peer was paid$86K
This provider vs. median12×
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 | 1,796 | $49K | |
| 2022 | 8,800 | $203K | |
| 2023 | 9,271 | $269K | |
| 2024incomplete | 12,549 | $539K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 2,084 | 653 | $237K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 2,333 | 847 | $234K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,974 | 4,778 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 5,181 | 5,035 | $78K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.8% | 817 | 370 | $72K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 5,639 | 5,436 | $63K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 868 | 434 | $46K |
| D0240 | 3.3% | 1,821 | 967 | $34K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 1,253 | 1,185 | $34K |
| D0272 | Bitewings - two radiographic images | 3.1% | 2,395 | 2,299 | $32K |
| D1110 | Prophylaxis - adult | 2.1% | 860 | 851 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 1,011 | 914 | $19K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 609 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,144 | $14K |
| D1351 | Sealant - per tooth | 1.3% | 653 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 73 | $7K |
| D1510 | <1% | 57 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 89 | $4K |
| D9310 | <1% | 83 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 143 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 122 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 207 | $2K |
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 officialMOLLOY, ROBERT (BUSINESS OWNER)