Clinic
Sensational Smiles Dentistry Subsidiary
Sensational Smiles Dentistry Subsidiary was paid $15K by Medicaid between Oct 2022 and Sep 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoSENSATIONAL SMILES DENTISTRY SUBSIDIARY
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1083383749assigned 09/07/2021
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims337
24DCodes billed4
24AFirst – last monthOct 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#37 of 54
Median peer was paid$30K
This provider vs. median0.5×
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 | 86 | $4K | |
| 2023 | 123 | $6K | |
| 2024incomplete | 128 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 137 | 132 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 117 | 109 | $4K |
| D1206 | Topical application of fluoride varnish | 13% | 68 | 68 | $2K |
| D0274 | Bitewings - four radiographic images | 4.7% | 15 | 15 | $732.75 |
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 officialHARRINGTON, AUDREY (EXECUTIVE DIRECTOR)
Parent organizationSENSATIONAL SMILES DENTISTRY PARTNERSHIP