Dental
Smiles 4 Kids Jerome PLLC
Smiles 4 Kids Jerome PLLC was paid $145K by Medicaid between Aug 2023 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.
33Billing provider infoSMILES 4 KIDS JEROME PLLC
JEROME, ID 83338
JEROME, ID 83338
33aNPI1811683097assigned 04/12/2023
33bProvider typePediatric Dentist
28Total paid$145K
24GClaims9,172
24DCodes billed17
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#35 of 53
Median peer was paid$394K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 1,488 | $20K | |
| 2024incomplete | 7,684 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 50% | 1,087 | 1,087 | $72K |
| D1110 | Prophylaxis - adult | 25% | 347 | 347 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 205 | 140 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 56 | 56 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 45 | 37 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 41 | 41 | $3K |
| D0330 | Panoramic radiographic image | 1.9% | 36 | 36 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.0% | 35 | 12 | $2K |
| D1351 | Sealant - per tooth | <1% | 411 | 80 | $951.16 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,156 | 1,156 | $206.32 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 416 | 398 | $105.96 |
| D0274 | Bitewings - four radiographic images | <1% | 303 | 303 | $80.47 |
5 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 officialSPORIN, LEANN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Twin Falls Kids Dental LLC | Twin Falls, ID | $2.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.