Dental
Smiles 4 Kids, LLC
Smiles 4 Kids, LLC was paid $4.32M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoSMILES 4 KIDS, LLC
FARMINGTON, NM 87402
FARMINGTON, NM 87402
33aNPI1346516929assigned 03/28/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$4.32M
24GClaims139,340
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#9 of 202
Median peer was paid$44K
This provider vs. median99×
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 | 17,695 | $609K | |
| 2019 | 15,671 | $513K | |
| 2020 | 14,942 | $491K | |
| 2021 | 20,773 | $688K | |
| 2022 | 18,636 | $598K | |
| 2023 | 25,039 | $697K | |
| 2024incomplete | 26,584 | $722K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 23,425 | 23,247 | $745K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 22,762 | 22,597 | $518K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 3,928 | 1,885 | $449K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 5,384 | 3,443 | $396K |
| D1206 | Topical application of fluoride varnish | 6.8% | 16,066 | 15,950 | $293K |
| D7140 | Extraction, erupted tooth or exposed root | 6.8% | 4,374 | 2,725 | $292K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 4,915 | 3,197 | $280K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 9,093 | 8,862 | $240K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 9,348 | 9,267 | $168K |
| D0272 | Bitewings - two radiographic images | 3.7% | 7,773 | 7,707 | $158K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.1% | 1,796 | 885 | $135K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 3,836 | 3,798 | $135K |
13 more codes
| D0140 | Limited oral evaluation - problem focused | 3.0% | 4,494 | $131K |
| D1351 | Sealant - per tooth | 2.8% | 5,131 | $123K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 7,177 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 5,857 | $62K |
| D0274 | Bitewings - four radiographic images | <1% | 1,432 | $43K |
| D9248 | <1% | 1,183 | $42K | |
| D2331 | <1% | 115 | $10K | |
| D2330 | <1% | 125 | $9K | |
| D1510 | <1% | 16 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 43 | $2K |
| D0240 | <1% | 118 | $1K | |
| D9420 | <1% | 14 | $1K | |
| D9985 | 0% | 935 | $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 officialMICKELSON, J (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Four Corners Smiles 4 Kids, INC. | Durango, CO | $2.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.