Clinic
Your Special Smiles PLLC
Your Special Smiles PLLC was paid $6K by Medicaid between Sep 2018 and Dec 2021, across 4 billing codes. Its largest line is D9410, — 100% of everything it billed.
33Billing provider infoYOUR SPECIAL SMILES PLLC
TWIN FALLS, ID 83301
TWIN FALLS, ID 83301
33aNPI1467820068assigned 09/14/2015
33bProvider typeDental Clinic/Center
28Total paid$6K
24GClaims241
24DCodes billed4
24AFirst – last monthSep 2018 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#34 of 39
Median peer was paid$56K
This provider vs. median0.1×
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 | 103 | $2K | |
| 2019 | 84 | $2K | |
| 2021 | 54 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9410 | 100% | 131 | 126 | $6K | |
| D1110 | Prophylaxis - adult | 0% | 54 | 54 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 31 | 31 | $0.00 |
| D9310 | 0% | 25 | 25 | $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 officialFUKUOKA, BROOKE (OWNER)