Dental
Surfin Smiles LLC
Surfin Smiles LLC was paid $2.03M by Medicaid between Jan 2019 and Dec 2024, across 22 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 21% of everything it billed.
33Billing provider infoSURFIN SMILES LLC
CASPER, WY 82609
CASPER, WY 82609
33aNPI1205303195assigned 10/29/2018
33bProvider typePediatric Dentist
28Total paid$2.03M
24GClaims57,921
24DCodes billed22
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wyoming
Rank by total paid#5 of 16
Median peer was paid$454K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2019 | 5,615 | $188K | |
| 2020 | 6,977 | $245K | |
| 2021 | 11,014 | $373K | |
| 2022 | 11,660 | $387K | |
| 2023 | 11,889 | $470K | |
| 2024incomplete | 10,766 | $369K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 21% | 12,410 | 11,938 | $433K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 11,311 | 10,908 | $365K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 10,152 | 9,772 | $344K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,632 | 890 | $153K |
| D0272 | Bitewings - two radiographic images | 6.3% | 5,553 | 5,341 | $129K |
| D1351 | Sealant - per tooth | 5.4% | 3,953 | 1,010 | $110K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 809 | 297 | $105K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 2,421 | 2,315 | $60K |
| D1110 | Prophylaxis - adult | 2.8% | 1,112 | 1,083 | $56K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 3,382 | 3,212 | $51K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 695 | 382 | $50K |
| D0330 | Panoramic radiographic image | 1.8% | 680 | 645 | $37K |
10 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 747 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,715 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 524 | $18K |
| D9248 | <1% | 164 | $16K | |
| D9420 | <1% | 108 | $15K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 268 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 126 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 84 | $7K |
| D2390 | <1% | 38 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 37 | $1K |
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 officialSCHOTT, MINDY (OFFICE MANAGER)