Dental
Healthy Smiles Mobile, LLC
Healthy Smiles Mobile, LLC was paid $413K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 21% of everything it billed.
33Billing provider infoHEALTHY SMILES MOBILE, LLC
INDEPENDENCE, MO 64055
INDEPENDENCE, MO 64055
33aNPI1255626826assigned 06/12/2011
33bProvider typePublic Health Dentist
28Total paid$413K
24GClaims20,187
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Missouri
Rank by total paid#2 of 17
Median peer was paid$155K
This provider vs. median2.7×
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 | 4,977 | $89K | |
| 2019 | 5,222 | $83K | |
| 2020 | 1,924 | $22K | |
| 2021 | 1,480 | $21K | |
| 2022 | 2,993 | $71K | |
| 2023 | 1,431 | $48K | |
| 2024incomplete | 2,160 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 21% | 8,732 | 2,550 | $86K |
| D1110 | Prophylaxis - adult | 17% | 1,963 | 1,789 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 1,391 | 393 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,329 | 1,167 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,688 | 1,561 | $49K |
| D0274 | Bitewings - four radiographic images | 11% | 1,568 | 1,432 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 3,092 | 2,758 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 103 | 61 | $9K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 146 | 130 | $5K |
| D4355 | <1% | 61 | 57 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 24 | 12 | $2K |
| D2140 | <1% | 32 | 16 | $1K |
2 more codes
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 officialLUSK, GAIL (DIRECTOR OF OPERATIONS)