Dental
Sparkling Smiles Mobile Dentistry LLC
Sparkling Smiles Mobile Dentistry LLC was paid $5K by Medicaid between Mar 2021 and Sep 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 78% of everything it billed.
33Billing provider infoSPARKLING SMILES MOBILE DENTISTRY LLC
JOES, CO 80822
JOES, CO 80822
33aNPI1235730953assigned 11/09/2020
33bProvider typeDental Hygienist
28Total paid$5K
24GClaims207
24DCodes billed2
24AFirst – last monthMar 2021 – Sep 2023
Compared with peers
Next to other Dental Hygienist providers in Colorado
Rank by total paid#52 of 69
Median peer was paid$23K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 29 | $683.70 | |
| 2022 | 82 | $2K | |
| 2023 | 96 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 78% | 152 | 152 | $4K |
| D1206 | Topical application of fluoride varnish | 22% | 55 | 55 | $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 officialFICKEN, KASSIDEE (RDH)