Dental
Little Smiles of Surprise
Little Smiles of Surprise was paid $277K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoLITTLE SMILES OF SURPRISE
EL MIRAGE, AZ 85335
EL MIRAGE, AZ 85335
33aNPI1134181332assigned 04/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$277K
24GClaims16,526
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#49 of 530
Median peer was paid$920.17
This provider vs. median301×
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 | 828 | $15K | |
| 2019 | 1,031 | $18K | |
| 2020 | 940 | $15K | |
| 2021 | 1,122 | $20K | |
| 2022 | 3,844 | $63K | |
| 2023 | 4,854 | $80K | |
| 2024incomplete | 3,907 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,183 | 2,092 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,916 | 1,819 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,955 | 1,858 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 2,665 | 2,536 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 2,507 | 2,331 | $22K |
| D0272 | Bitewings - two radiographic images | 8.1% | 1,320 | 1,260 | $22K |
| D1206 | Topical application of fluoride varnish | 5.1% | 815 | 793 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 187 | 78 | $13K |
| D0274 | Bitewings - four radiographic images | 3.8% | 442 | 411 | $11K |
| D1110 | Prophylaxis - adult | 3.4% | 254 | 240 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 191 | 190 | $7K |
| D0330 | Panoramic radiographic image | 2.4% | 174 | 161 | $7K |
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 officialSCHREIER, LAURET (DENTIST)