Dental
Lifesmiles Dental LLC
Lifesmiles Dental LLC was paid $1K by Medicaid between Sep 2020 and Nov 2021, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.
33Billing provider infoLIFESMILES DENTAL LLC
FERGUS FALLS, MN 56537
FERGUS FALLS, MN 56537
33aNPI1578893632assigned 01/12/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims86
24DCodes billed2
24AFirst – last monthSep 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#280 of 368
Median peer was paid$19K
This provider vs. median0.1×
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 | 54 | $905.99 | |
| 2021 | 32 | $491.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 57% | 44 | 43 | $799.60 |
| D1206 | Topical application of fluoride varnish | 43% | 42 | 41 | $598.01 |
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 officialMCROBERTS, JAMI (OFFICE MANAGER)