Dental
Kids Smiles
Kids Smiles was paid $2.34M by Medicaid between Aug 2022 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoKIDS SMILES
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
33aNPI1851432298assigned 02/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2.34M
24GClaims93,492
24DCodes billed28
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#10 of 847
Median peer was paid$37K
This provider vs. median63×
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 | 32 | $652.80 | |
| 2023 | 232 | $6K | |
| 2024incomplete | 93,228 | $2.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,041 | 2,927 | $293K |
| D1351 | Sealant - per tooth | 11% | 6,755 | 2,082 | $257K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 6,666 | 6,634 | $227K |
| D1206 | Topical application of fluoride varnish | 9.1% | 9,978 | 9,901 | $213K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 7,711 | 7,671 | $181K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.2% | 3,626 | 3,482 | $168K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 2,091 | 1,633 | $122K |
| D1110 | Prophylaxis - adult | 4.9% | 2,832 | 2,817 | $115K |
| D0274 | Bitewings - four radiographic images | 4.2% | 2,978 | 2,962 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 1,211 | 901 | $90K |
| D0272 | Bitewings - two radiographic images | 3.1% | 3,873 | 3,851 | $73K |
| D1320 | 2.9% | 4,505 | 4,349 | $67K |
16 more codes
| D0603 | 2.8% | 6,705 | $66K | |
| D1310 | 2.0% | 9,308 | $47K | |
| D1330 | 2.0% | 9,298 | $47K | |
| D9920 | 1.8% | 329 | $43K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.8% | 287 | $41K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 481 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 3,706 | $35K |
| D0330 | Panoramic radiographic image | 1.4% | 784 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 2,792 | $28K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 989 | $23K |
| D0602 | <1% | 1,912 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 475 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 23 | $2K |
| D0601 | <1% | 50 | $500.00 | |
| D1354 | <1% | 73 | $360.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $312.26 |
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 officialMASTRA, NONI (FINANCIAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Kids Smiles | Philadelphia, PA | $1.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.