Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Craft Smiles Pediatric Dentistry, PLLC

Craft Smiles Pediatric Dentistry, PLLC was paid $244K by Medicaid between Jun 2021 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoCRAFT SMILES PEDIATRIC DENTISTRY, PLLC
NEWBURGH, NY 12550
33aNPI1023462736assigned 04/19/2016
33bProvider typeDental Clinic/Center
28Total paid$244K
24GClaims9,856
24DCodes billed16
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in New York

Rank by total paid#72 of 188
Median peer was paid$113K
This provider vs. median2.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20211,364$34K
20222,872$73K
20233,113$77K
2024incomplete2,507$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 29% 2,152 2,152 $71K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 2,345 2,345 $55K
D1206 Topical application of fluoride varnish 12% 1,011 1,011 $29K
D1208 Topical application of fluoride, excluding varnish 7.4% 1,467 1,467 $18K
D1351 Sealant - per tooth 5.9% 414 164 $14K
D0272 Bitewings - two radiographic images 5.9% 1,010 1,010 $14K
D1110 Prophylaxis - adult 3.8% 223 223 $9K
D1354 3.7% 250 84 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.4% 206 130 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.3% 110 73 $6K
D0220 Intraoral - periapical first radiographic image 1.3% 297 291 $3K
D0150 Comprehensive oral evaluation - new or established patient 1.1% 157 157 $3K
4 more codes
D7140 Extraction, erupted tooth or exposed root <1% 28 $1K
D0274 Bitewings - four radiographic images <1% 39 $963.30
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 121 $800.00
D0230 Intraoral - periapical each additional radiographic image <1% 26 $205.20

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 officialBLAIR, JENNIFER (OWNER)