Dental
Kinder Smiles Dental PC
Kinder Smiles Dental PC was paid $5.30M by Medicaid between Jan 2018 and Sep 2023, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoKINDER SMILES DENTAL PC
SPRING VALLEY, NY 10977
SPRING VALLEY, NY 10977
33aNPI1114337201assigned 04/29/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$5.30M
24GClaims155,665
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#17 of 2,184
Median peer was paid$54K
This provider vs. median99×
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 | 21,518 | $854K | |
| 2019 | 23,961 | $845K | |
| 2020 | 25,223 | $829K | |
| 2021 | 33,069 | $1.11M | |
| 2022 | 31,187 | $1.02M | |
| 2023 | 20,707 | $644K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 9,388 | 8,545 | $1.09M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 19,641 | 19,641 | $733K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 18,033 | 18,033 | $453K |
| D0274 | Bitewings - four radiographic images | 8.5% | 17,829 | 17,829 | $450K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.6% | 2,966 | 2,763 | $299K |
| D1351 | Sealant - per tooth | 5.2% | 3,823 | 3,562 | $274K |
| D1206 | Topical application of fluoride varnish | 4.4% | 9,859 | 9,797 | $233K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 3,903 | 3,733 | $226K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 18,981 | 18,959 | $210K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 1,880 | 1,819 | $162K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.0% | 2,124 | 2,036 | $157K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 12,805 | 12,805 | $146K |
16 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 3,487 | $142K |
| D2331 | 2.3% | 1,519 | $123K | |
| D3240 | 2.2% | 612 | $117K | |
| D1110 | Prophylaxis - adult | 2.1% | 2,454 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 17,719 | $98K |
| D0330 | Panoramic radiographic image | 1.5% | 2,510 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 3,242 | $78K |
| D1510 | 1.2% | 668 | $63K | |
| D9110 | <1% | 1,096 | $24K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 681 | $17K |
| D2330 | <1% | 139 | $7K | |
| D3230 | <1% | 25 | $4K | |
| D2332 | <1% | 24 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 174 | $2K |
| D9995 | <1% | 71 | $2K | |
| D2920 | <1% | 12 | $385.92 |
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 officialFOGEL, DANIEL (DENTIST/OWNER)