Dental
Legacy Smiles International
Legacy Smiles International was paid $24K by Medicaid between May 2018 and Jan 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoLEGACY SMILES INTERNATIONAL
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1316475106assigned 05/24/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims721
24DCodes billed5
24AFirst – last monthMay 2018 – Jan 2022
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#87 of 149
Median peer was paid$40K
This provider vs. median0.6×
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 | 80 | $2K | |
| 2019 | 71 | $2K | |
| 2020 | 211 | $6K | |
| 2021 | 308 | $11K | |
| 2022 | 51 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 202 | 200 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 211 | 206 | $5K |
| D0274 | Bitewings - four radiographic images | 15% | 104 | 102 | $4K |
| D1206 | Topical application of fluoride varnish | 15% | 180 | 172 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 24 | 24 | $1K |
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 officialSTUART, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mike Stuart Enterprises INC | Crane, MO | $30K |
| Mike Stuart Enterprises, INC. | Willow Springs, MO | $29K |
| Mike Stuart Enterprises INC | Branson West, MO | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.