Dental
Family Smiles Dentistry, PLLC
Family Smiles Dentistry, PLLC was paid $10.80M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoFAMILY SMILES DENTISTRY, PLLC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1710010285assigned 03/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$10.80M
24GClaims264,459
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#2 of 284
Median peer was paid$172K
This provider vs. median63×
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 | 47,218 | $1.80M | |
| 2019 | 48,624 | $1.98M | |
| 2020 | 36,930 | $1.35M | |
| 2021 | 35,528 | $1.37M | |
| 2022 | 34,094 | $1.44M | |
| 2023 | 33,659 | $1.67M | |
| 2024incomplete | 28,406 | $1.20M |
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 | 16% | 19,077 | 8,020 | $1.73M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15% | 11,518 | 5,262 | $1.60M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 12,873 | 4,397 | $1.50M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 41,139 | 40,541 | $1.20M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 44,042 | 43,447 | $896K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 43,604 | 42,984 | $634K |
| D1110 | Prophylaxis - adult | 4.5% | 11,222 | 11,036 | $485K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 5,629 | 3,234 | $361K |
| D0330 | Panoramic radiographic image | 3.3% | 7,695 | 7,626 | $357K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 13,111 | 12,555 | $340K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 5,567 | 2,570 | $316K |
| D0272 | Bitewings - two radiographic images | 2.9% | 17,535 | 17,254 | $308K |
15 more codes
| D0274 | Bitewings - four radiographic images | 2.7% | 10,062 | $291K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 2,908 | $256K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 5,200 | $152K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 4,188 | $123K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,761 | $82K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,652 | $68K |
| D2332 | <1% | 500 | $52K | |
| D3120 | <1% | 418 | $12K | |
| D2331 | <1% | 123 | $10K | |
| D2934 | <1% | 88 | $10K | |
| D2335 | <1% | 70 | $8K | |
| D2330 | <1% | 81 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 345 | $3K |
| D2394 | <1% | 19 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 32 | $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 officialCLOTHIER, EVAN (OWNER)