Dental
Legacy Smiles Family Dental, PLLC
Legacy Smiles Family Dental, PLLC was paid $450K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.
33Billing provider infoLEGACY SMILES FAMILY DENTAL, PLLC
MERIDIAN, ID 83642
MERIDIAN, ID 83642
33aNPI1275646259assigned 08/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$450K
24GClaims20,936
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#17 of 173
Median peer was paid$22K
This provider vs. median20×
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 | 2,872 | $59K | |
| 2019 | 2,248 | $50K | |
| 2020 | 2,961 | $57K | |
| 2021 | 5,123 | $116K | |
| 2022 | 4,214 | $87K | |
| 2023 | 2,192 | $47K | |
| 2024incomplete | 1,326 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 52% | 3,288 | 3,285 | $236K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 1,716 | 781 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 919 | 914 | $53K |
| D0330 | Panoramic radiographic image | 4.5% | 507 | 507 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 195 | 195 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 553 | 253 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 79 | 42 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,893 | 3,886 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 236 | 232 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 2,386 | 2,384 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 206 | 206 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,191 | 2,075 | $623.23 |
6 more codes
| D1351 | Sealant - per tooth | <1% | 415 | $366.07 |
| D1206 | Topical application of fluoride varnish | <1% | 2,209 | $97.17 |
| D0272 | Bitewings - two radiographic images | <1% | 303 | $50.18 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 385 | $26.53 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,281 | $0.00 |
| D1999 | 0% | 174 | $0.00 |
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 officialWILLIAMS, BRAD (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Miller EMS INC. | Eldorado, IL | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.