Dental
Four Corners Smiles 4 Kids, INC.
Four Corners Smiles 4 Kids, INC. was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoFOUR CORNERS SMILES 4 KIDS, INC.
DURANGO, CO 81303
DURANGO, CO 81303
33aNPI1225364607assigned 10/20/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2.23M
24GClaims61,262
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#49 of 521
Median peer was paid$53K
This provider vs. median42×
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 | 7,132 | $287K | |
| 2019 | 7,477 | $262K | |
| 2020 | 8,713 | $306K | |
| 2021 | 11,450 | $426K | |
| 2022 | 7,956 | $281K | |
| 2023 | 10,013 | $316K | |
| 2024incomplete | 8,521 | $351K |
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 | 16% | 2,940 | 1,723 | $364K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 9,396 | 9,341 | $317K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 12,749 | 12,678 | $305K |
| D1206 | Topical application of fluoride varnish | 11% | 13,218 | 13,150 | $254K |
| D1110 | Prophylaxis - adult | 8.4% | 3,939 | 3,917 | $187K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 1,710 | 1,078 | $157K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 4,732 | 4,470 | $143K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 1,045 | 341 | $119K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 801 | 507 | $74K |
| D1351 | Sealant - per tooth | 2.7% | 1,711 | 465 | $60K |
| D0272 | Bitewings - two radiographic images | 2.4% | 2,497 | 2,477 | $52K |
| D0330 | Panoramic radiographic image | 1.9% | 780 | 780 | $42K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 709 | $31K |
| D0274 | Bitewings - four radiographic images | 1.1% | 821 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 290 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,730 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,511 | $21K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 248 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 204 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 140 | $4K |
| D2331 | <1% | 34 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 57 | $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 officialMICKELSON, J (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smiles 4 Kids, LLC | Farmington, NM | $4.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.