Clinic
Little Smiles Dentaloffice #4
Little Smiles Dentaloffice #4 was paid $27K by Medicaid between Jan 2020 and Jul 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 87% of everything it billed.
33Billing provider infoLITTLE SMILES DENTALOFFICE #4
LAKE WORTH, FL 33460
LAKE WORTH, FL 33460
33aNPI1073874723assigned 05/30/2012
33bProvider typeDental Clinic/Center
28Total paid$27K
24GClaims1,754
24DCodes billed10
24AFirst – last monthJan 2020 – Jul 2020
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#57 of 87
Median peer was paid$67K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 1,754 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 87% | 240 | 240 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 29 | 29 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 130 | 129 | $548.50 |
| D1351 | Sealant - per tooth | 1.1% | 77 | 16 | $285.36 |
| D1330 | <1% | 289 | 289 | $63.94 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 236 | 236 | $46.08 |
| D1110 | Prophylaxis - adult | 0% | 29 | 29 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 213 | 213 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 442 | 112 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 69 | 69 | $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 officialCORTES, GONZALO (OWNER)
Parent organizationLITTLE SMILES DENTAL #1