Dental
Dental Smiles for Kids, LLC
Dental Smiles for Kids, LLC was paid $14.84M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoDENTAL SMILES FOR KIDS, LLC
WHITESTONE, NY 11357
WHITESTONE, NY 11357
33aNPI1114291176assigned 03/07/2012
33bProvider typePediatric Dentist
28Total paid$14.84M
24GClaims421,739
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#7 of 514
Median peer was paid$196K
This provider vs. median76×
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 | 19,667 | $472K | |
| 2019 | 26,219 | $816K | |
| 2020 | 37,469 | $1.28M | |
| 2021 | 53,263 | $1.93M | |
| 2022 | 75,139 | $2.81M | |
| 2023 | 103,790 | $3.76M | |
| 2024incomplete | 106,192 | $3.78M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 67,209 | 67,128 | $3.06M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 20,055 | 14,404 | $2.03M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 62,547 | 62,470 | $1.92M |
| D1351 | Sealant - per tooth | 8.3% | 20,802 | 9,329 | $1.23M |
| D1206 | Topical application of fluoride varnish | 6.2% | 28,859 | 28,811 | $926K |
| D0272 | Bitewings - two radiographic images | 5.0% | 41,530 | 41,488 | $747K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 47,379 | 47,318 | $707K |
| D1110 | Prophylaxis - adult | 4.3% | 10,495 | 10,475 | $636K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.5% | 3,871 | 2,915 | $513K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 8,088 | 6,665 | $507K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 32,210 | 32,002 | $473K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 14,811 | 14,790 | $458K |
17 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 7,800 | $424K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 2,414 | $282K |
| D0240 | 1.6% | 9,641 | $233K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 24,706 | $186K |
| D0274 | Bitewings - four radiographic images | 1.1% | 5,396 | $165K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,557 | $133K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,252 | $51K |
| D9990 | <1% | 2,256 | $50K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,566 | $49K |
| D0330 | Panoramic radiographic image | <1% | 1,170 | $49K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 464 | $14K |
| D9310 | <1% | 104 | $8K | |
| D0270 | <1% | 135 | $2K | |
| D2330 | <1% | 20 | $1K | |
| D9430 | <1% | 60 | $1K | |
| D1354 | <1% | 61 | $915.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 281 | $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 officialKOURTSOUNIS, PARASKEVIS (MEMBER)