Dental
Eversmiles Pediatric Dentistry, PLLC
Eversmiles Pediatric Dentistry, PLLC was paid $10.71M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoEVERSMILES PEDIATRIC DENTISTRY, PLLC
HERMANTOWN, MN 55811
HERMANTOWN, MN 55811
33aNPI1285873687assigned 02/10/2009
33bProvider typePediatric Dentist
28Total paid$10.71M
24GClaims234,787
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#3 of 49
Median peer was paid$94K
This provider vs. median114×
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 | 28,298 | $272K | |
| 2019 | 28,195 | $1.19M | |
| 2020 | 22,215 | $907K | |
| 2021 | 31,014 | $1.34M | |
| 2022 | 37,020 | $1.93M | |
| 2023 | 43,558 | $2.47M | |
| 2024incomplete | 44,487 | $2.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 13,770 | 3,645 | $2.09M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 33,709 | 32,907 | $1.17M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 13,871 | 5,950 | $1.17M |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 32,143 | 31,332 | $1.11M |
| D1206 | Topical application of fluoride varnish | 8.0% | 31,249 | 30,310 | $854K |
| D7140 | Extraction, erupted tooth or exposed root | 7.1% | 8,625 | 3,776 | $763K |
| D0272 | Bitewings - two radiographic images | 5.0% | 17,369 | 16,924 | $534K |
| D1351 | Sealant - per tooth | 4.4% | 16,848 | 5,183 | $470K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 6,470 | 3,701 | $425K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 6,533 | 6,414 | $299K |
| D0330 | Panoramic radiographic image | 2.0% | 2,495 | 2,437 | $216K |
| D1110 | Prophylaxis - adult | 1.9% | 3,885 | 3,793 | $207K |
18 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 9,581 | $191K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 9,993 | $163K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 8,275 | $161K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 1,757 | $151K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,752 | $140K |
| D1510 | 1.2% | 648 | $127K | |
| D9420 | <1% | 4,089 | $102K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,874 | $88K |
| D2330 | <1% | 1,189 | $85K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,167 | $67K |
| D2331 | <1% | 660 | $65K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 252 | $29K |
| D2332 | <1% | 176 | $22K | |
| D2933 | <1% | 79 | $20K | |
| D1354 | <1% | 148 | $4K | |
| D9985 | 0% | 132 | $0.00 | |
| D9995 | 0% | 24 | $0.00 | |
| D1999 | 0% | 24 | $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 officialCONRY, JOHN (PARTNER)