Dental
Smiles U Pediatric Dentistry, PA
Smiles U Pediatric Dentistry, PA was paid $1.92M by Medicaid between Oct 2020 and Dec 2024, across 19 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoSMILES U PEDIATRIC DENTISTRY, PA
BASTROP, TX 78602
BASTROP, TX 78602
33aNPI1538327929assigned 06/02/2008
33bProvider typePediatric Dentist
28Total paid$1.92M
24GClaims81,280
24DCodes billed19
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#123 of 693
Median peer was paid$252K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2020 | 2,130 | $46K | |
| 2021 | 19,171 | $485K | |
| 2022 | 23,432 | $590K | |
| 2023 | 21,884 | $491K | |
| 2024incomplete | 14,663 | $307K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 13,121 | 2,961 | $362K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 7,569 | 7,561 | $274K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 9,418 | 9,395 | $268K |
| D1206 | Topical application of fluoride varnish | 7.2% | 9,505 | 9,497 | $139K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.9% | 899 | 295 | $133K |
| D0145 | Oral evaluation for a patient under three years of age | 5.1% | 691 | 688 | $97K |
| D1110 | Prophylaxis - adult | 4.8% | 1,707 | 1,706 | $93K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 922 | 594 | $90K |
| D0272 | Bitewings - two radiographic images | 4.4% | 4,719 | 4,698 | $85K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 2,709 | 2,662 | $73K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 7,673 | 4,837 | $71K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 1,107 | 1,106 | $71K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 5,783 | $66K |
| D0274 | Bitewings - four radiographic images | 2.5% | 1,869 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 435 | $33K |
| D0330 | Panoramic radiographic image | <1% | 1,257 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | $494.48 |
| D0140 | Limited oral evaluation - problem focused | <1% | 21 | $375.60 |
| D0603 | 0% | 11,861 | $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 officialRADCLIFF, DANNA (PEDIATRIC DENTIST)