Dental
Smile Academy of Kentucky
Smile Academy of Kentucky was paid $536K by Medicaid between Jun 2020 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoSMILE ACADEMY OF KENTUCKY
FLOYDS KNOBS, IN 47119
FLOYDS KNOBS, IN 47119
33aNPI1265805717assigned 11/05/2015
33bProvider typePublic Health Dentist
28Total paid$536K
24GClaims17,872
24DCodes billed21
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Indiana
Rank by total paid#3 of 8
Median peer was paid$6K
This provider vs. median84×
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 | |
|---|---|---|---|
| 2020 | 754 | $18K | |
| 2021 | 4,725 | $138K | |
| 2022 | 5,106 | $143K | |
| 2023 | 4,237 | $134K | |
| 2024incomplete | 3,050 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 2,134 | 2,098 | $97K |
| D0330 | Panoramic radiographic image | 18% | 2,302 | 2,261 | $94K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 778 | 412 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 1,830 | 1,796 | $51K |
| D0274 | Bitewings - four radiographic images | 8.0% | 2,093 | 2,054 | $43K |
| D0140 | Limited oral evaluation - problem focused | 6.6% | 1,154 | 1,133 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 1,523 | 1,495 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 583 | 572 | $31K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.4% | 612 | 405 | $29K |
| D1206 | Topical application of fluoride varnish | 3.1% | 1,132 | 1,110 | $16K |
| D1351 | Sealant - per tooth | 1.4% | 414 | 91 | $8K |
| D2140 | 1.4% | 201 | 137 | $8K |
9 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 101 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 856 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 78 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 297 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 51 | $3K |
| D4341 | <1% | 38 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 114 | $2K |
| D9986 | <1% | 1,534 | $966.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 47 | $313.17 |
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 officialSHUFFITT, CARRIE (MEMBER)