Dental
My Smiles Pediatric Dentistry of Queens PC
My Smiles Pediatric Dentistry of Queens PC was paid $368K by Medicaid between Jan 2022 and Aug 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoMY SMILES PEDIATRIC DENTISTRY OF QUEENS PC
JAMAICA, NY 11432
JAMAICA, NY 11432
33aNPI1548924277assigned 10/28/2021
33bProvider typePediatric Dentist
28Total paid$368K
24GClaims11,427
24DCodes billed21
24AFirst – last monthJan 2022 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#201 of 514
Median peer was paid$196K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2022 | 7,932 | $266K | |
| 2023 | 2,223 | $73K | |
| 2024incomplete | 1,272 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 636 | 569 | $75K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,862 | 1,862 | $56K |
| D1351 | Sealant - per tooth | 8.8% | 365 | 322 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 1,398 | 1,398 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 367 | 356 | $27K |
| D1206 | Topical application of fluoride varnish | 7.0% | 1,206 | 1,181 | $26K |
| D0240 | 7.0% | 1,163 | 1,162 | $26K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 1,373 | 1,373 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 154 | 142 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 340 | 315 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 637 | 637 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 914 | 914 | $10K |
9 more codes
| D1354 | 2.2% | 118 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 69 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 73 | $5K |
| D1110 | Prophylaxis - adult | 1.0% | 94 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 282 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 188 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 108 | $858.02 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 62 | $315.52 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 18 | $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 officialSHIMUNOVA, SHARONA (DENTIST/OWNER)