Children's Smile Center

Children's Smile Center was paid $821.89 by Medicaid between Jan 2019 and Oct 2019, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 56% of everything it billed.

33Billing provider infoCHILDREN'S SMILE CENTER
AURORA, MO 65605

33aNPI1629403027assigned 09/05/2013

33bProvider typeDentist

28Total paid$821.89

24GClaims62

24DCodes billed3

24AFirst – last monthJan 2019 – Oct 2019

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#268 of 284

Median peer was paid$109K

This provider vs. median0.0×

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
2019	62	$821.89

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	56%	37	37	$458.49
D1120	Dental cleaning, childProphylaxis - child	32%	13	13	$259.56
D0220	Intraoral - periapical first radiographic image	13%	12	12	$103.84

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 officialBARGER, JACKIE (EXECUTIVE DIRECTOR)