Dental
Cosmic Smiles Pediatric Dentistry
Cosmic Smiles Pediatric Dentistry was paid $697K by Medicaid between Dec 2019 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoCOSMIC SMILES PEDIATRIC DENTISTRY
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
33aNPI1366910333assigned 11/08/2018
33bProvider typePediatric Dentist
28Total paid$697K
24GClaims57,956
24DCodes billed27
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#48 of 246
Median peer was paid$107K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2019 | 49 | $0.00 | |
| 2020 | 1,456 | $23K | |
| 2021 | 1,525 | $17K | |
| 2022 | 17,933 | $269K | |
| 2023 | 24,644 | $346K | |
| 2024incomplete | 12,349 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 6,015 | 5,934 | $164K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 5,395 | 5,337 | $111K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 1,393 | 468 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,036 | 1,100 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 1,429 | 1,414 | $58K |
| D1110 | Prophylaxis - adult | 7.0% | 814 | 808 | $49K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 1,851 | 1,697 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 1,163 | 700 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,166 | 636 | $23K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,064 | 1,035 | $8K |
| D0330 | Panoramic radiographic image | 1.1% | 508 | 502 | $8K |
| D9420 | 1.1% | 41 | 25 | $8K |
15 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 23 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 3,831 | $2K |
| D1351 | Sealant - per tooth | <1% | 1,316 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 407 | $2K |
| D9310 | <1% | 59 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,789 | $905.02 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,757 | $691.57 |
| D1330 | <1% | 6,829 | $394.69 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,751 | $356.54 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 55 | $245.48 |
| D0601 | <1% | 1,669 | $147.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 608 | $120.97 |
| D0603 | <1% | 2,797 | $97.96 | |
| D2330 | <1% | 32 | $50.53 | |
| D0602 | <1% | 158 | $10.00 |
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 officialBERLIN, JULIAN (OWNER)