Dental
A Childs Smile
A Childs Smile was paid $4.44M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoA CHILDS SMILE
AMMON, ID 83406
AMMON, ID 83406
33aNPI1316192370assigned 11/18/2008
33bProvider typePediatric Dentist
28Total paid$4.44M
24GClaims232,344
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#4 of 53
Median peer was paid$394K
This provider vs. median11×
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 | 34,372 | $586K | |
| 2019 | 33,136 | $621K | |
| 2020 | 24,621 | $482K | |
| 2021 | 35,220 | $678K | |
| 2022 | 42,913 | $859K | |
| 2023 | 33,392 | $622K | |
| 2024incomplete | 28,690 | $591K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 19,644 | 19,635 | $1.43M |
| D1110 | Prophylaxis - adult | 15% | 6,195 | 6,193 | $655K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 3,325 | 3,325 | $507K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 6,313 | 3,399 | $498K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.5% | 5,789 | 1,567 | $331K |
| D9420 | 5.1% | 493 | 493 | $225K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,956 | 2,956 | $158K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 1,642 | 1,642 | $114K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 2,828 | 1,820 | $114K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 2,768 | 1,477 | $112K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 383 | 296 | $75K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,567 | 1,551 | $41K |
20 more codes
| D0274 | Bitewings - four radiographic images | <1% | 6,139 | $40K |
| D0330 | Panoramic radiographic image | <1% | 3,481 | $32K |
| D1351 | Sealant - per tooth | <1% | 25,781 | $30K |
| D2332 | <1% | 234 | $16K | |
| D2934 | <1% | 57 | $15K | |
| D7111 | <1% | 205 | $11K | |
| D9248 | <1% | 167 | $9K | |
| D0120 | Dental checkup, returning patient | <1% | 21,799 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 6,545 | $7K |
| D4346 | <1% | 58 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 25,812 | $5K |
| D2331 | <1% | 65 | $2K | |
| D2330 | <1% | 31 | $949.30 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27,033 | $823.61 |
| D0272 | Bitewings - two radiographic images | <1% | 12,903 | $425.78 |
| D1206 | Topical application of fluoride varnish | <1% | 936 | $193.71 |
| D1330 | 0% | 392 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 126 | $0.00 |
| D1354 | 0% | 44 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 46,633 | $-81.37 |
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 officialADAMSON, CHRISTINE (OFFICE MANAGER)