Dental
Healthy Smiles Mobile Dental Foundation
Healthy Smiles Mobile Dental Foundation was paid $10.89M by Medicaid between Nov 2018 and Dec 2024, across 30 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoHEALTHY SMILES MOBILE DENTAL FOUNDATION
FRESNO, CA 93723
FRESNO, CA 93723
33aNPI1235291568assigned 12/14/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$10.89M
24GClaims640,152
24DCodes billed30
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#43 of 2,668
Median peer was paid$173K
This provider vs. median63×
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 | 4,551 | $82K | |
| 2019 | 119,807 | $1.64M | |
| 2020 | 50,536 | $819K | |
| 2021 | 120,681 | $1.96M | |
| 2022 | 154,848 | $2.85M | |
| 2023 | 95,809 | $1.85M | |
| 2024incomplete | 93,920 | $1.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 31,144 | 31,134 | $1.94M |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 44,317 | 44,308 | $1.85M |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 362,847 | 53,744 | $1.47M |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 20,066 | 20,062 | $1.32M |
| D1351 | Sealant - per tooth | 9.5% | 37,215 | 12,978 | $1.03M |
| D1310 | 4.2% | 9,974 | 9,965 | $454K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 39,356 | 39,350 | $446K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.6% | 5,778 | 3,681 | $387K |
| D0272 | Bitewings - two radiographic images | 3.0% | 27,769 | 27,754 | $332K |
| D0274 | Bitewings - four radiographic images | 3.0% | 16,187 | 16,183 | $329K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 3,096 | 2,137 | $208K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 1,554 | 1,221 | $154K |
18 more codes
| D9993 | 1.3% | 2,650 | $145K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 10,510 | $126K |
| D1206 | Topical application of fluoride varnish | 1.1% | 4,908 | $123K |
| D0603 | 1.1% | 8,123 | $121K | |
| D2160 | <1% | 920 | $73K | |
| D0350 | <1% | 6,627 | $63K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 796 | $63K |
| D2140 | <1% | 1,146 | $62K | |
| D9430 | <1% | 1,649 | $52K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 703 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 684 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 200 | $24K |
| D0601 | <1% | 1,238 | $18K | |
| D0602 | <1% | 358 | $5K | |
| D2330 | <1% | 64 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 43 | $2K |
| D1354 | <1% | 214 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 16 | $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 officialKODAMA, SUSAN (CHIEF EXECUTIVE OFFICER)