Dental
Smiles 4 Kids PC
Smiles 4 Kids PC was paid $11.46M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoSMILES 4 KIDS PC
OMAHA, NE 68114
OMAHA, NE 68114
33aNPI1487902581assigned 08/21/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$11.46M
24GClaims502,305
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#1 of 201
Median peer was paid$21K
This provider vs. median540×
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 | 75,781 | $1.72M | |
| 2019 | 72,361 | $1.62M | |
| 2020 | 63,084 | $1.33M | |
| 2021 | 77,618 | $1.64M | |
| 2022 | 80,772 | $1.86M | |
| 2023 | 68,980 | $1.71M | |
| 2024incomplete | 63,709 | $1.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 81,698 | 15,854 | $2.10M |
| D1206 | Topical application of fluoride varnish | 15% | 70,989 | 68,888 | $1.72M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 57,282 | 56,923 | $1.60M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 55,425 | 55,058 | $1.31M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.0% | 6,676 | 2,111 | $802K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 7,456 | 4,851 | $607K |
| D1110 | Prophylaxis - adult | 3.9% | 12,556 | 12,454 | $449K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 67,148 | 35,531 | $350K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 11,502 | 10,919 | $337K |
| D1999 | 2.7% | 31,001 | 30,348 | $305K | |
| D0272 | Bitewings - two radiographic images | 2.4% | 20,090 | 19,958 | $280K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 4,253 | 3,145 | $269K |
19 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 12,725 | $261K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 39,026 | $256K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 6,180 | $243K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 8,127 | $194K |
| D0330 | Panoramic radiographic image | 1.0% | 3,198 | $117K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,213 | $75K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,919 | $68K |
| D9420 | <1% | 738 | $60K | |
| D7111 | <1% | 593 | $25K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 124 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 352 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 47 | $5K |
| D0240 | <1% | 563 | $4K | |
| D0270 | <1% | 282 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 46 | $2K |
| D1354 | <1% | 58 | $580.00 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 12 | $0.00 |
| D0251 | 0% | 14 | $0.00 | |
| D0350 | 0% | 12 | $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 officialEVANS, MAGDALENA (SR CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Chidren's Dentistry of South Omaha, LLC | Omaha, NE | $8.61M |
| Kids Dental of Dayton-Joan-Florence Besana Salido DDS INC | Dayton, OH | $3.41M |
| Houston Red Oak Drive Dental, PC | Houston, TX | $3.33M |
| William Street Dental Health Center PC | Carson City, NV | $2.11M |
| DR Larosliere DDS - Baltimore INC | Baltimore, MD | $1.04M |
| Oregon Dentistry Stephen Branam, DDS INC. | Oregon, OH | $1.02M |
| Chubbuck Kidz Dental PC | Chubbuck, ID | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.