Childrens Smile Center

Childrens Smile Center was paid $3K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 36% of everything it billed.

33Billing provider infoCHILDRENS SMILE CENTER
OZARK, MO 65721

33aNPI1841349891assigned 01/09/2007

33bProvider typePediatric Dentist

28Total paid$3K

24GClaims198

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pediatric Dentist providers in Missouri

Rank by total paid#34 of 39

Median peer was paid$73K

This provider vs. median0.0×

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
2018	105	$1K
2019	24	$433.08
2020	69	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	36%	90	89	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	38	38	$812.02
D0274	Bitewings - four radiographic images	22%	39	39	$614.76
D1120	Dental cleaning, childProphylaxis - child	11%	18	17	$302.50
D0220	Intraoral - periapical first radiographic image	2.6%	13	13	$74.40

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 officialMILLSAP, JOE (PROGRAM DIRECTOR)