Dental
Sunshine Smiles Pediatric Dentistry LLC
Sunshine Smiles Pediatric Dentistry LLC was paid $13K by Medicaid between Jul 2024 and Nov 2024, across 7 billing codes. Its largest line is D1351, Sealant - per tooth — 39% of everything it billed.
33Billing provider infoSUNSHINE SMILES PEDIATRIC DENTISTRY LLC
GARDNER, KS 66030
GARDNER, KS 66030
33aNPI1487410924assigned 02/22/2024
33bProvider typePediatric Dentist
28Total paid$13K
24GClaims481
24DCodes billed7
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#36 of 41
Median peer was paid$505K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 481 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 39% | 182 | 28 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 81 | 81 | $3K |
| D1206 | Topical application of fluoride varnish | 14% | 100 | 98 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 52 | 52 | $2K |
| D0272 | Bitewings - two radiographic images | 6.7% | 41 | 41 | $878.18 |
| D0330 | Panoramic radiographic image | 5.9% | 13 | 13 | $765.53 |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 12 | 12 | $151.14 |
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 officialCASA, ADELA (OWNER)