Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kiddsmiles Pediatric Dentistry 4 PLLC

Kiddsmiles Pediatric Dentistry 4 PLLC was paid $2.64M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoKIDDSMILES PEDIATRIC DENTISTRY 4 PLLC
MERRICK, NY 11566
33aNPI1427448877assigned 01/23/2015
33bProvider typePediatric Dentist
28Total paid$2.64M
24GClaims74,475
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#52 of 514
Median peer was paid$196K
This provider vs. median14×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20181,524$47K
20192,990$106K
20207,403$256K
202111,653$443K
202214,114$523K
202317,193$597K
2024incomplete19,598$670K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 30% 16,619 16,619 $783K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 15,910 15,910 $507K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 2,543 1,804 $314K
D1206 Topical application of fluoride varnish 8.1% 6,508 6,507 $214K
D1351 Sealant - per tooth 6.3% 2,661 1,125 $166K
D1208 Topical application of fluoride, excluding varnish 6.2% 10,561 10,561 $163K
D0272 Bitewings - two radiographic images 5.5% 7,747 7,745 $145K
D1110 Prophylaxis - adult 3.1% 1,309 1,309 $83K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 1,761 1,761 $58K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 792 637 $55K
D0220 Intraoral - periapical first radiographic image 1.7% 2,912 2,906 $45K
D0240 1.6% 1,263 1,263 $42K
11 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 1,215 $19K
D0230 Intraoral - periapical each additional radiographic image <1% 1,469 $14K
D7140 Extraction, erupted tooth or exposed root <1% 157 $9K
D0330 Panoramic radiographic image <1% 161 $7K
D0274 Bitewings - four radiographic images <1% 188 $6K
D0140 Limited oral evaluation - problem focused <1% 275 $4K
D2930 Prefabricated stainless steel crown - primary tooth <1% 31 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 17 $2K
D0145 Oral evaluation for a patient under three years of age <1% 36 $1K
D0210 Intraoral - complete series of radiographic images <1% 13 $137.94
D1999 0% 327 $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 officialHUTTER, DANA (INSURANCE COORDINATOR)
Same official

Other billing entities under HUTTER, DANA

Full network →
ProviderLocationPaid
Kiddsmiles PLLCNorth Babylon, NY$3.33M
Kiddsmiles II PLLCManhasset, NY$1.72M
Kiddsmiles DDS 3 PLLCHolbrook, NY$1.71M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.