Dental
Kids Smile, PC
Kids Smile, PC was paid $1.79M by Medicaid between Mar 2018 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoKIDS SMILE, PC
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
33aNPI1871754978assigned 06/20/2008
33bProvider typePediatric Dentist
28Total paid$1.79M
24GClaims59,010
24DCodes billed24
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#127 of 693
Median peer was paid$252K
This provider vs. median7.1×
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 | 59 | $1K | |
| 2020 | 2,057 | $62K | |
| 2021 | 16,173 | $487K | |
| 2022 | 13,734 | $415K | |
| 2023 | 11,863 | $341K | |
| 2024incomplete | 15,124 | $486K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 1,831 | 624 | $255K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,459 | 1,446 | $203K |
| D1351 | Sealant - per tooth | 10% | 6,772 | 1,617 | $183K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 5,749 | 5,680 | $161K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 4,312 | 4,242 | $151K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 1,758 | 975 | $132K |
| D0272 | Bitewings - two radiographic images | 6.8% | 5,630 | 5,552 | $121K |
| D9248 | 6.4% | 1,003 | 896 | $114K | |
| D1110 | Prophylaxis - adult | 5.1% | 1,735 | 1,718 | $91K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 6,104 | 6,019 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 806 | 566 | $79K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 5,072 | 4,988 | $61K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 4,984 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 1,405 | $37K |
| D0330 | Panoramic radiographic image | 1.6% | 815 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 454 | $15K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 162 | $11K |
| D0350 | <1% | 275 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 136 | $3K |
| D0601 | 0% | 1,964 | $0.00 | |
| D0603 | 0% | 5,951 | $0.00 | |
| D0602 | 0% | 55 | $0.00 | |
| D9987 | 0% | 118 | $0.00 | |
| D9986 | 0% | 460 | $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 officialMARCUSHAMER, MAURICIO (OWNER)