Clinic
Sky Family Dental, LLC
Sky Family Dental, LLC was paid $14K by Medicaid between Aug 2019 and Apr 2022, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoSKY FAMILY DENTAL, LLC
EUPORA, MS 39744
EUPORA, MS 39744
33aNPI1255991196assigned 06/13/2019
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims658
24DCodes billed5
24AFirst – last monthAug 2019 – Apr 2022
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#32 of 53
Median peer was paid$44K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 271 | $6K | |
| 2020 | 200 | $4K | |
| 2021 | 115 | $3K | |
| 2022 | 72 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 204 | 155 | $4K |
| D0140 | Limited oral evaluation - problem focused | 28% | 161 | 101 | $4K |
| D0330 | Panoramic radiographic image | 15% | 81 | 54 | $2K |
| D1206 | Topical application of fluoride varnish | 13% | 122 | 82 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 90 | 55 | $2K |
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 officialSMITH, DUSTIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Greater Foundation Foot Clinics East Texas, PLLC | Tyler, TX | $371.99 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.