Dental
Smiles 4 Kids Burley
Smiles 4 Kids Burley was paid $3.36M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoSMILES 4 KIDS BURLEY
BURLEY, ID 83318
BURLEY, ID 83318
33aNPI1346510237assigned 01/09/2012
33bProvider typePediatric Dentist
28Total paid$3.36M
24GClaims188,704
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#7 of 53
Median peer was paid$394K
This provider vs. median8.5×
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 | 26,664 | $474K | |
| 2019 | 27,829 | $490K | |
| 2020 | 26,242 | $448K | |
| 2021 | 27,054 | $461K | |
| 2022 | 27,439 | $511K | |
| 2023 | 28,125 | $521K | |
| 2024incomplete | 25,351 | $457K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 18,418 | 18,378 | $1.37M |
| D1110 | Prophylaxis - adult | 17% | 5,521 | 5,509 | $573K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 4,682 | 2,898 | $350K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.4% | 4,855 | 1,278 | $282K |
| D0330 | Panoramic radiographic image | 6.8% | 2,173 | 2,166 | $227K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 1,989 | 1,523 | $118K |
| D0145 | Oral evaluation for a patient under three years of age | 3.2% | 2,088 | 2,087 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,462 | 1,453 | $95K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 2,265 | 1,192 | $79K |
| D9248 | 1.3% | 204 | 202 | $44K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,425 | 1,404 | $44K |
| D9420 | 1.1% | 183 | 182 | $37K |
14 more codes
| D0120 | Dental checkup, returning patient | <1% | 21,611 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 80 | $15K |
| D1351 | Sealant - per tooth | <1% | 11,352 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 4,271 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 5,898 | $1K |
| D2330 | <1% | 21 | $430.64 | |
| D1206 | Topical application of fluoride varnish | <1% | 14,331 | $418.06 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 11,552 | $203.77 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 23,639 | $142.11 |
| D1999 | 0% | 3,113 | $0.00 | |
| D9986 | 0% | 141 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 43 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 13,100 | $-726.71 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 34,287 | $-2753.41 |
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 officialPRYOR, TRENT (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Richfield Kids Dental, PLLC | Richfield, UT | $576K |
| ST George Kids Dental, PLLC | St George, UT | $471K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.