Dental
Smiles 4 Kids Hailey
Smiles 4 Kids Hailey was paid $1.08M by Medicaid between Feb 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoSMILES 4 KIDS HAILEY
HAILEY, ID 83333
HAILEY, ID 83333
33aNPI1568803203assigned 07/10/2013
33bProvider typePediatric Dentist
28Total paid$1.08M
24GClaims63,846
24DCodes billed18
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#18 of 53
Median peer was paid$394K
This provider vs. median2.7×
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 | 10,308 | $174K | |
| 2019 | 11,752 | $196K | |
| 2020 | 8,903 | $151K | |
| 2021 | 9,994 | $167K | |
| 2022 | 10,668 | $178K | |
| 2023 | 7,278 | $131K | |
| 2024incomplete | 4,943 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 5,393 | 5,392 | $481K |
| D1110 | Prophylaxis - adult | 34% | 3,343 | 3,343 | $366K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,890 | 1,061 | $130K |
| D0330 | Panoramic radiographic image | 4.3% | 592 | 592 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 481 | 334 | $22K |
| D1351 | Sealant - per tooth | 2.0% | 7,538 | 2,000 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 8,395 | 8,394 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 123 | 123 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 97 | 94 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 37 | 37 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,897 | 1,799 | $375.56 |
| D0274 | Bitewings - four radiographic images | <1% | 2,471 | 2,471 | $164.19 |
6 more codes
| D0272 | Bitewings - two radiographic images | <1% | 3,957 | $97.01 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,246 | $87.05 |
| D1206 | Topical application of fluoride varnish | <1% | 8,660 | $13.55 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 11,297 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 292 | $0.00 |
| D1354 | 0% | 137 | $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 officialELQUIST, RHONDA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Smiles 4 Kids Caldwell | Caldwell, ID | $8.47M |
| Playhouse Dentistry for Kids | Mountain Home, ID | $1.66M |
| Cherry Lane Kids Dentistry | Meridian, ID | $279K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.