Dental
World of Smiles, Pediatric Dentistry LLC
World of Smiles, Pediatric Dentistry LLC was paid $664K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoWORLD OF SMILES, PEDIATRIC DENTISTRY LLC
PORTLAND, OR 97225
PORTLAND, OR 97225
33aNPI1801183488assigned 07/05/2011
33bProvider typePediatric Dentist
28Total paid$664K
24GClaims31,821
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#33 of 109
Median peer was paid$362K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2018 | 8,764 | $163K | |
| 2019 | 867 | $15K | |
| 2020 | 6,503 | $122K | |
| 2021 | 13,283 | $265K | |
| 2022 | 839 | $60K | |
| 2023 | 762 | $27K | |
| 2024incomplete | 803 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 4,106 | 3,987 | $159K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,224 | 3,162 | $95K |
| D1206 | Topical application of fluoride varnish | 12% | 4,071 | 3,862 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 741 | 391 | $52K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 7.8% | 82 | 81 | $52K |
| D0272 | Bitewings - two radiographic images | 4.8% | 1,702 | 1,643 | $32K |
| D1351 | Sealant - per tooth | 3.8% | 758 | 274 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 580 | 557 | $23K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 212 | 101 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 808 | 727 | $22K |
| D0603 | 2.9% | 4,265 | 4,099 | $19K | |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,347 | 1,238 | $17K |
14 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 572 | $11K |
| D1110 | Prophylaxis - adult | 1.3% | 194 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 817 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 90 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 70 | $6K |
| D0330 | Panoramic radiographic image | <1% | 92 | $4K |
| D1330 | <1% | 4,952 | $4K | |
| D9248 | <1% | 26 | $4K | |
| D1354 | <1% | 575 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 83 | $3K |
| D1999 | <1% | 2,073 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 43 | $1K |
| D0602 | <1% | 260 | $334.00 |
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 officialSTAFFORD, MICHELLE (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Stafford Chiropractic | New Berlin, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.