Dental
West Central Smiles PA
West Central Smiles PA was paid $4.82M by Medicaid between Apr 2022 and Dec 2024, across 8 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 49% of everything it billed.
33Billing provider infoWEST CENTRAL SMILES PA
LITCHFIELD, MN 55355
LITCHFIELD, MN 55355
33aNPI1043463417assigned 10/29/2008
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$4.82M
24GClaims22,009
24DCodes billed8
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Minnesota
Rank by total paid#5 of 69
Median peer was paid$252K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2022 | 5,895 | $1.30M | |
| 2023 | 8,287 | $1.80M | |
| 2024incomplete | 7,827 | $1.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 49% | 10,081 | 10,068 | $2.34M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 32% | 3,421 | 3,236 | $1.53M |
| D0330 | Panoramic radiographic image | 4.8% | 2,150 | 2,108 | $232K |
| D0340 | 4.3% | 1,502 | 1,480 | $205K | |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 2,615 | 2,583 | $191K |
| D0350 | 3.4% | 1,483 | 1,463 | $164K | |
| D8020 | 2.4% | 307 | 298 | $116K | |
| D0470 | <1% | 450 | 447 | $42K |
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 officialJOHNSON, JEREMY (DR./CEO)
| Provider | Location | Paid |
|---|---|---|
| Total Medical Supply Co INC | Spring Lake Park, MN | $4.62M |
| Henyretta Dental Center 2, PLLC | Henryetta, OK | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.