Dental
Super Smiles for Kids, LLC
Super Smiles for Kids, LLC was paid $84K by Medicaid between Jul 2020 and Oct 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoSUPER SMILES FOR KIDS, LLC
MARICOPA, AZ 85139
MARICOPA, AZ 85139
33aNPI1750747150assigned 01/14/2016
33bProvider typePediatric Dentist
28Total paid$84K
24GClaims3,083
24DCodes billed12
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#76 of 223
Median peer was paid$24K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2020 | 13 | $233.79 | |
| 2021 | 28 | $561.94 | |
| 2022 | 240 | $6K | |
| 2023 | 712 | $16K | |
| 2024incomplete | 2,090 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 548 | 536 | $22K |
| D1206 | Topical application of fluoride varnish | 20% | 842 | 818 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 607 | 593 | $16K |
| D0274 | Bitewings - four radiographic images | 13% | 354 | 346 | $11K |
| D0240 | 7.9% | 351 | 252 | $7K | |
| D1110 | Prophylaxis - adult | 7.5% | 128 | 123 | $6K |
| D1351 | Sealant - per tooth | 1.5% | 46 | 14 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 29 | 29 | $1K |
| D0272 | Bitewings - two radiographic images | 1.4% | 54 | 54 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 19 | 17 | $481.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 29 | 29 | $431.52 |
| D0603 | 0% | 76 | 75 | $0.00 |
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 officialROPER, MATTHEW (OWNER/DENTIST)