King Smile Dentistry LLC

King Smile Dentistry LLC was paid $130K by Medicaid between Jan 2018 and Mar 2020, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.

33Billing provider infoKING SMILE DENTISTRY LLC
HAPPY VALLEY, OR 97086

33aNPI1316311657assigned 11/24/2015

33bProvider typeDentist

28Total paid$130K

24GClaims4,787

24DCodes billed17

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#59 of 233

Median peer was paid$19K

This provider vs. median7.0×

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	2,078	$60K
2019	2,175	$57K
2020	534	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	424	289	$21K
D1110	Prophylaxis - adult	13%	440	416	$17K
D1208	Topical application of fluoride, excluding varnish	12%	961	926	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	566	551	$14K
D0140	Limited oral evaluation - problem focused	10%	443	408	$14K
D0274	Bitewings - four radiographic images	6.9%	498	473	$9K
D0150	Comprehensive oral evaluation - new or established patient	5.9%	240	233	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.4%	191	121	$7K
D0220	Intraoral - periapical first radiographic image	4.5%	555	518	$6K
D7140	Extraction, erupted tooth or exposed root	4.3%	71	38	$6K
D0330	Panoramic radiographic image	4.1%	162	156	$5K
D1120	Dental cleaning, childProphylaxis - child	2.5%	123	123	$3K

5 more codes

D4910		1.8%	38	$2K
D4341		1.6%	37	$2K
D0210	Intraoral - complete series of radiographic images	<1%	14	$760.00
D0272	Bitewings - two radiographic images	<1%	12	$166.30
D0230	Intraoral - periapical each additional radiographic image	<1%	12	$89.00

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 officialBUI, PHU (PRESIDENT)

Same official

Other billing entities under BUI, PHU

Full network →

Provider	Location	Paid
Americaredental	Beaverton, OR	$72K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.