Dental
Kids Smiles Dental, PLLC
Kids Smiles Dental, PLLC was paid $640K by Medicaid between Jan 2018 and May 2022, across 32 billing codes. Its largest line is D9420, — 27% of everything it billed.
33Billing provider infoKIDS SMILES DENTAL, PLLC
TAMPA, FL 33612
TAMPA, FL 33612
33aNPI1033661848assigned 10/27/2016
33bProvider typePediatric Dentist
28Total paid$640K
24GClaims36,694
24DCodes billed32
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#53 of 246
Median peer was paid$107K
This provider vs. median6.0×
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 | 3,460 | $64K | |
| 2019 | 1,537 | $37K | |
| 2020 | 19,831 | $540K | |
| 2021 | 6,593 | $0.00 | |
| 2022 | 5,273 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9420 | 27% | 544 | 451 | $171K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,130 | 3,032 | $97K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10.0% | 2,092 | 2,036 | $64K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.6% | 843 | 797 | $48K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.2% | 2,042 | 521 | $46K |
| D0272 | Bitewings - two radiographic images | 4.4% | 2,665 | 2,595 | $28K |
| D1330 | 4.2% | 4,799 | 4,557 | $27K | |
| D9248 | 3.4% | 109 | 109 | $22K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 1,930 | 785 | $17K |
| D1351 | Sealant - per tooth | 2.5% | 1,758 | 470 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 614 | 354 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 2,110 | 2,018 | $14K |
20 more codes
| D1120 | Dental cleaning, child | 1.9% | 3,762 | $12K |
| D7960 | 1.5% | 62 | $9K | |
| D0240 | 1.3% | 546 | $8K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 595 | $8K |
| D1206 | Topical application of fluoride varnish | 1.1% | 2,266 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 2,311 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 558 | $6K |
| D1110 | Prophylaxis - adult | <1% | 743 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 519 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,327 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 113 | $2K |
| D2330 | <1% | 85 | $2K | |
| D1999 | <1% | 35 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 113 | $1K |
| D0350 | <1% | 292 | $638.32 | |
| D2335 | <1% | 212 | $335.90 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 234 | $0.00 |
| D3120 | 0% | 71 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 202 | $0.00 |
| D7962 | 0% | 12 | $0.00 |
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 officialJORDAN, NEELY (DIRECTOR OF OPERATIONS)
Parent organizationKIDS SMILES PARTNERS, PLLC
| Provider | Location | Paid |
|---|---|---|
| Kids Smiles Pedo, PLLC | Tampa, FL | $3.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.