Dental
Dental Smiles for Kids, LLC
Dental Smiles for Kids, LLC was paid $150K by Medicaid between Jan 2024 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoDENTAL SMILES FOR KIDS, LLC
RONKONKOMA, NY 11779
RONKONKOMA, NY 11779
33aNPI1750023123assigned 04/07/2022
33bProvider typePediatric Dentist
28Total paid$150K
24GClaims4,760
24DCodes billed15
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#281 of 514
Median peer was paid$196K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2024incomplete | 4,760 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 834 | 834 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 309 | 193 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 794 | 792 | $22K |
| D1351 | Sealant - per tooth | 9.6% | 358 | 116 | $14K |
| D1206 | Topical application of fluoride varnish | 7.5% | 401 | 401 | $11K |
| D0272 | Bitewings - two radiographic images | 5.1% | 475 | 475 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 565 | 564 | $8K |
| D1110 | Prophylaxis - adult | 4.7% | 132 | 131 | $7K |
| D0240 | 2.4% | 258 | 133 | $4K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 152 | 152 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 265 | 265 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 49 | 49 | $1K |
3 more codes
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 | Astoria, NY | $604K |
| Dental Smiles for Kids, LLC | North Babylon, NY | $181K |
| 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.