Dental
Kids Little Smiles Dentistry
Kids Little Smiles Dentistry was paid $734K by Medicaid between Aug 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoKIDS LITTLE SMILES DENTISTRY
KINGMAN, AZ 86401
KINGMAN, AZ 86401
33aNPI1225274087assigned 12/29/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$734K
24GClaims50,263
24DCodes billed24
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#25 of 530
Median peer was paid$920.17
This provider vs. median798×
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 | 14 | $238.03 | |
| 2019 | 1,590 | $2K | |
| 2020 | 8,977 | $29K | |
| 2021 | 9,328 | $30K | |
| 2022 | 9,765 | $89K | |
| 2023 | 11,016 | $313K | |
| 2024incomplete | 9,573 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 7,912 | 7,656 | $157K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,330 | 7,145 | $93K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 9,910 | 9,571 | $91K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.5% | 1,316 | 547 | $70K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.3% | 1,358 | 542 | $46K |
| D0330 | Panoramic radiographic image | 6.1% | 1,741 | 1,658 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 1,552 | 641 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 1,894 | 1,753 | $38K |
| D1110 | Prophylaxis - adult | 5.1% | 1,686 | 1,619 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 935 | 477 | $30K |
| D0274 | Bitewings - four radiographic images | 3.6% | 2,323 | 2,217 | $26K |
| D0272 | Bitewings - two radiographic images | 3.2% | 2,607 | 2,533 | $24K |
12 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 498 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 180 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 187 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 500 | $3K |
| D1351 | Sealant - per tooth | <1% | 267 | $2K |
| D0240 | <1% | 239 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 91 | $793.79 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15 | $10.73 |
| D0603 | 0% | 159 | $0.00 | |
| D0601 | 0% | 1,343 | $0.00 | |
| D0602 | 0% | 6,189 | $0.00 | |
| D9222 | 0% | 31 | $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 officialLUCERO, CHARLES (GENERAL DENTIST)