Dental
Kids Smile Pediatric Dentistry
Kids Smile Pediatric Dentistry was paid $303K by Medicaid between Jan 2018 and Jul 2019, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoKIDS SMILE PEDIATRIC DENTISTRY
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
33aNPI1376841361assigned 03/01/2011
33bProvider typePediatric Dentist
28Total paid$303K
24GClaims15,552
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#194 of 332
Median peer was paid$450K
This provider vs. median0.7×
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 | 15,213 | $300K | |
| 2019 | 339 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,600 | 1,590 | $46K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 840 | 409 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,178 | 1,177 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 495 | 220 | $31K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.8% | 658 | 605 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 5,451 | 1,429 | $20K |
| D1351 | Sealant - per tooth | 6.1% | 890 | 228 | $19K |
| D1206 | Topical application of fluoride varnish | 6.0% | 1,594 | 1,586 | $18K |
| D0330 | Panoramic radiographic image | 3.8% | 442 | 437 | $11K |
| D9430 | 3.5% | 365 | 352 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 193 | 83 | $10K |
| D0272 | Bitewings - two radiographic images | 2.9% | 858 | 853 | $9K |
5 more codes
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 officialBAGHERI, AMINOLLAH (OWNER)
Parent organizationAMINOLLAH BAGHERI, DDS, INC.