Dental
Smilie's Pediatric Dentistry
Smilie's Pediatric Dentistry was paid $949K by Medicaid between Jun 2022 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoSMILIE'S PEDIATRIC DENTISTRY
GRAND RAPIDS, MI 49508
GRAND RAPIDS, MI 49508
33aNPI1821732850assigned 04/26/2022
33bProvider typePediatric Dentist
28Total paid$949K
24GClaims22,065
24DCodes billed20
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#54 of 153
Median peer was paid$464K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2022 | 3,313 | $125K | |
| 2023 | 9,214 | $392K | |
| 2024incomplete | 9,538 | $432K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 1,165 | 316 | $223K |
| D1351 | Sealant - per tooth | 14% | 4,159 | 875 | $137K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,022 | 3,022 | $127K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,345 | 3,345 | $109K |
| D1206 | Topical application of fluoride varnish | 11% | 3,824 | 3,824 | $105K |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,717 | 1,717 | $42K |
| D1354 | 3.8% | 1,316 | 399 | $36K | |
| D1110 | Prophylaxis - adult | 3.6% | 720 | 720 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 400 | 193 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 333 | 234 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 171 | 133 | $21K |
| D9420 | 1.7% | 101 | 101 | $16K |
8 more codes
| D0240 | 1.3% | 682 | $13K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 475 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 353 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 103 | $6K |
| D0330 | Panoramic radiographic image | <1% | 28 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $1K |
| D9248 | <1% | 62 | $960.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 63 | $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 officialLADUE III, DOUGLAS (OWNER/DENTIST)