Dental
Little Smile Company
Little Smile Company was paid $1.33M by Medicaid between Oct 2019 and May 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoLITTLE SMILE COMPANY
CLEVELAND, MS 38732
CLEVELAND, MS 38732
33aNPI1366916892assigned 01/17/2019
33bProvider typePediatric Dentist
28Total paid$1.33M
24GClaims52,493
24DCodes billed21
24AFirst – last monthOct 2019 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#25 of 81
Median peer was paid$580K
This provider vs. median2.3×
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 | 269 | $4K | |
| 2020 | 6,223 | $189K | |
| 2021 | 13,372 | $379K | |
| 2022 | 12,451 | $315K | |
| 2023 | 12,839 | $252K | |
| 2024incomplete | 7,339 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 11,526 | 10,391 | $260K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,653 | 479 | $169K |
| D1206 | Topical application of fluoride varnish | 12% | 8,670 | 7,902 | $163K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 6,502 | 5,900 | $137K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 4,972 | 4,504 | $132K |
| D0272 | Bitewings - two radiographic images | 7.1% | 6,117 | 5,546 | $94K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 1,333 | 805 | $89K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 2,540 | 1,982 | $82K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 756 | 416 | $48K |
| D0330 | Panoramic radiographic image | 2.6% | 928 | 861 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 2,585 | 2,331 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 2,392 | 1,922 | $30K |
9 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.0% | 341 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,569 | $16K |
| D0350 | <1% | 185 | $4K | |
| D2330 | <1% | 77 | $4K | |
| D1351 | Sealant - per tooth | <1% | 90 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 27 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 169 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 24 | $2K |
| D9310 | <1% | 37 | $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 officialPHILLIPS, ROENIKYA (OWNER/ PEDIATRIC DENTIST)