Dental
Dental Smiles for Kids, LLC
Dental Smiles for Kids, LLC was paid $604K by Medicaid between Jan 2023 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoDENTAL SMILES FOR KIDS, LLC
ASTORIA, NY 11103
ASTORIA, NY 11103
33aNPI1639811003assigned 04/07/2022
33bProvider typePediatric Dentist
28Total paid$604K
24GClaims18,932
24DCodes billed17
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#150 of 514
Median peer was paid$196K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2023 | 7,469 | $278K | |
| 2024incomplete | 11,463 | $326K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 2,717 | 2,717 | $137K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,577 | 2,577 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 601 | 366 | $62K |
| D0220 | Intraoral - periapical first radiographic image | 8.2% | 2,729 | 2,713 | $50K |
| D0272 | Bitewings - two radiographic images | 7.9% | 1,935 | 1,935 | $47K |
| D1206 | Topical application of fluoride varnish | 7.5% | 1,243 | 1,243 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 1,851 | 1,850 | $34K |
| D1351 | Sealant - per tooth | 4.6% | 585 | 182 | $28K |
| D1110 | Prophylaxis - adult | 4.5% | 416 | 416 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 370 | 239 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 545 | 545 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 2,526 | 2,522 | $20K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 216 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 310 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 256 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 15 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 40 | $1K |
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 officialKOURTSOUNIS, PARASKEVAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Supersmiles KDS Dental PC | Riverhead, NY | $5.88M |
| Dental Smiles for Kids, LLC | North Babylon, NY | $181K |
| Dental Smiles for Kids, LLC | Ronkonkoma, NY | $150K |
| Dental Smiles for Kids, LLC | Centereach, NY | $79K |
| Dental Smiles for Kids | Levittown, NY | $65K |
| Dental Smiles for Kids, LLC | Levittown, NY | $348.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.