ST. Cloud Smiles, INC.

ST. Cloud Smiles, INC. was paid $40K by Medicaid between Sep 2018 and Feb 2023, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoST. CLOUD SMILES, INC.
SAINT CLOUD, FL 34772

33aNPI1023338597assigned 06/08/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$40K

24GClaims3,339

24DCodes billed12

24AFirst – last monthSep 2018 – Feb 2023

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#241 of 568

Median peer was paid$24K

This provider vs. median1.7×

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	705	$9K
2019	188	$3K
2020	884	$12K
2022	1,059	$10K
2023	503	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	46%	273	268	$18K
D0150	Comprehensive oral evaluation - new or established patient	27%	167	156	$11K
D1120	Dental cleaning, childProphylaxis - child	9.3%	256	246	$4K
D1110	Prophylaxis - adult	6.8%	162	151	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.2%	60	33	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.9%	29	12	$753.86
D1208	Topical application of fluoride, excluding varnish	1.1%	464	444	$429.39
D1330		<1%	516	493	$317.83
D0272	Bitewings - two radiographic images	<1%	220	214	$200.85
D0220	Intraoral - periapical first radiographic image	<1%	546	521	$144.45
D0274	Bitewings - four radiographic images	<1%	171	159	$95.15
D0230	Intraoral - periapical each additional radiographic image	<1%	475	452	$4.48

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 officialVAN, JENNIFER (OWNER)