Dental
Smiles 4 Kids Blackfoot PLLC
Smiles 4 Kids Blackfoot PLLC was paid $562K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoSMILES 4 KIDS BLACKFOOT PLLC
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
33aNPI1154799047assigned 09/09/2015
33bProvider typePediatric Dentist
28Total paid$562K
24GClaims36,026
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#25 of 53
Median peer was paid$394K
This provider vs. median1.4×
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 | 19,008 | $299K | |
| 2019 | 9,938 | $154K | |
| 2024incomplete | 7,080 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 3,130 | 3,128 | $252K |
| D0274 | Bitewings - four radiographic images | 13% | 1,078 | 1,077 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 900 | 529 | $63K |
| D1110 | Prophylaxis - adult | 9.5% | 1,047 | 1,046 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 702 | 702 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 522 | 339 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.3% | 332 | 96 | $19K |
| D9420 | 2.9% | 19 | 19 | $17K | |
| D1351 | Sealant - per tooth | 1.8% | 2,853 | 641 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 55 | 55 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 152 | 91 | $7K |
| D0330 | Panoramic radiographic image | <1% | 112 | 112 | $5K |
12 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 74 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 3,350 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 42 | $1K |
| D9248 | <1% | 13 | $302.73 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,222 | $271.65 |
| D1206 | Topical application of fluoride varnish | <1% | 1,525 | $212.33 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,597 | $114.20 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,915 | $108.73 |
| D0272 | Bitewings - two radiographic images | <1% | 2,017 | $33.28 |
| D1330 | 0% | 876 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 24 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 8,469 | $-45.58 |
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 officialBINGHAM, KORY (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Rigby Pediatric Dental PLLC | Rigby, ID | $575K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.