Dental
Kid Smiles Pediatric Dentistry PC
Kid Smiles Pediatric Dentistry PC was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoKID SMILES PEDIATRIC DENTISTRY PC
YONKERS, NY 10701
YONKERS, NY 10701
33aNPI1144544016assigned 03/22/2010
33bProvider typePediatric Dentist
28Total paid$2.55M
24GClaims89,826
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#54 of 514
Median peer was paid$196K
This provider vs. median13×
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 | 5,480 | $163K | |
| 2019 | 8,159 | $230K | |
| 2020 | 9,066 | $249K | |
| 2021 | 15,649 | $456K | |
| 2022 | 19,314 | $560K | |
| 2023 | 16,062 | $465K | |
| 2024incomplete | 16,096 | $429K |
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 | 22% | 6,282 | 3,563 | $564K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 13,520 | 13,516 | $443K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 13,920 | 13,914 | $312K |
| D1351 | Sealant - per tooth | 7.9% | 3,761 | 2,131 | $202K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 16,111 | 16,109 | $183K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 2,883 | 2,340 | $135K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.4% | 1,340 | 1,016 | $111K |
| D1110 | Prophylaxis - adult | 4.3% | 2,552 | 2,551 | $111K |
| D0272 | Bitewings - two radiographic images | 4.0% | 7,732 | 7,731 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 9,038 | 9,010 | $96K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.2% | 776 | 637 | $82K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.5% | 791 | 652 | $63K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 2,205 | $50K |
| D0330 | Panoramic radiographic image | 1.8% | 1,498 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 6,659 | $37K |
| D2330 | <1% | 125 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 430 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 119 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $342.25 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 18 | $0.00 |
| D1999 | 0% | 52 | $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 officialFARD, PEGGY (PEDIATRIC DENTIST/OWNER)