Dental
Kindred Smiles Pediatric Dentistry LLC
Kindred Smiles Pediatric Dentistry LLC was paid $572K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoKINDRED SMILES PEDIATRIC DENTISTRY LLC
GROTON, MA 01450
GROTON, MA 01450
33aNPI1104226539assigned 09/04/2014
33bProvider typePediatric Dentist
28Total paid$572K
24GClaims17,089
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#70 of 144
Median peer was paid$511K
This provider vs. median1.1×
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 | 478 | $19K | |
| 2019 | 1,164 | $41K | |
| 2020 | 1,257 | $41K | |
| 2021 | 2,889 | $96K | |
| 2022 | 3,698 | $115K | |
| 2023 | 3,818 | $126K | |
| 2024incomplete | 3,785 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 4,797 | 4,595 | $233K |
| D1206 | Topical application of fluoride varnish | 22% | 5,134 | 4,904 | $127K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 4,149 | 3,943 | $113K |
| D0272 | Bitewings - two radiographic images | 5.8% | 1,149 | 1,119 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 344 | 339 | $20K |
| D1351 | Sealant - per tooth | 2.4% | 371 | 119 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 656 | 561 | $13K |
| D1110 | Prophylaxis - adult | 1.3% | 122 | 114 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 192 | 183 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 79 | 76 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 37 | 26 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 27 | 27 | $1K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | $368.00 |
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 officialDECOTEAU, JAY (OWNER)