Dental
Dental Smiles for Kids
Dental Smiles for Kids was paid $65K by Medicaid between Feb 2024 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoDENTAL SMILES FOR KIDS
LEVITTOWN, NY 11756
LEVITTOWN, NY 11756
33aNPI1124727110assigned 02/28/2023
33bProvider typePediatric Dentist
28Total paid$65K
24GClaims2,075
24DCodes billed17
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#339 of 514
Median peer was paid$196K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 2,075 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 462 | 462 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 371 | 371 | $11K |
| D1206 | Topical application of fluoride varnish | 12% | 238 | 238 | $7K |
| D0272 | Bitewings - two radiographic images | 7.1% | 256 | 256 | $5K |
| D1351 | Sealant - per tooth | 6.6% | 93 | 32 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 244 | 244 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 35 | 22 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 80 | 80 | $2K |
| D1110 | Prophylaxis - adult | 3.1% | 33 | 33 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 22 | 15 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 98 | 98 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 18 | 13 | $836.76 |
5 more codes
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, PARASKEVAS (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Supersmiles KDS Dental PC | Riverhead, NY | $5.88M |
| Dental Smiles for Kids, LLC | Astoria, NY | $604K |
| Dental Smiles for Kids, LLC | North Babylon, NY | $181K |
| Dental Smiles for Kids, LLC | Ronkonkoma, NY | $150K |
| Dental Smiles for Kids, LLC | Centereach, NY | $79K |
| Dental Smiles for Kids, LLC | Levittown, NY | $348.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.