Dental
Smiles 4 Kids II
Smiles 4 Kids II was paid $4.85M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoSMILES 4 KIDS II
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
33aNPI1720226954assigned 01/26/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$4.85M
24GClaims116,883
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#18 of 521
Median peer was paid$53K
This provider vs. median92×
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 | 16,159 | $554K | |
| 2019 | 16,959 | $637K | |
| 2020 | 17,184 | $683K | |
| 2021 | 19,169 | $787K | |
| 2022 | 16,022 | $731K | |
| 2023 | 15,880 | $664K | |
| 2024incomplete | 15,510 | $789K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 5,288 | 2,035 | $682K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 13,192 | 13,145 | $450K |
| D1351 | Sealant - per tooth | 8.9% | 11,612 | 2,761 | $429K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 2,898 | 1,528 | $383K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 14,599 | 14,555 | $354K |
| D1110 | Prophylaxis - adult | 6.5% | 6,633 | 6,612 | $314K |
| D9248 | 6.1% | 2,108 | 2,041 | $295K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 4,952 | 4,937 | $199K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 1,962 | 1,133 | $196K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 5,669 | 5,584 | $196K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 1,851 | 1,280 | $195K |
| D0274 | Bitewings - four radiographic images | 3.9% | 6,214 | 6,194 | $189K |
15 more codes
| D1206 | Topical application of fluoride varnish | 3.2% | 6,417 | $156K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 12,764 | $147K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 1,515 | $129K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 3,740 | $117K |
| D0330 | Panoramic radiographic image | 2.4% | 2,231 | $117K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 7,750 | $98K |
| D0272 | Bitewings - two radiographic images | 1.4% | 3,278 | $68K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,188 | $42K |
| D2934 | <1% | 226 | $39K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 150 | $24K |
| D3230 | <1% | 94 | $12K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 256 | $5K |
| D4346 | <1% | 95 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 122 | $4K |
| D3120 | <1% | 79 | $3K |
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 officialHOLYBEE, MARY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Smiles4kids | Montrose, CO | $4.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.