Dental
Sparkling Smiles Pediatric Dentistry, PLLC
Sparkling Smiles Pediatric Dentistry, PLLC was paid $978K by Medicaid between Nov 2021 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 35% of everything it billed.
33Billing provider infoSPARKLING SMILES PEDIATRIC DENTISTRY, PLLC
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
33aNPI1881279016assigned 03/09/2021
33bProvider typePediatric Dentist
28Total paid$978K
24GClaims23,683
24DCodes billed22
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#31 of 81
Median peer was paid$580K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 287 | $7K | |
| 2022 | 8,253 | $323K | |
| 2023 | 9,529 | $397K | |
| 2024incomplete | 5,614 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 35% | 2,771 | 617 | $340K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,886 | 3,516 | $115K |
| D7140 | Extraction, erupted tooth or exposed root | 9.0% | 1,222 | 518 | $88K |
| D1206 | Topical application of fluoride varnish | 8.9% | 3,561 | 3,214 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 1,438 | 1,275 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 692 | 422 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 1,791 | 1,663 | $49K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 750 | 673 | $30K |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,609 | 1,432 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 1,227 | 988 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 1,674 | 1,443 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 189 | 136 | $20K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 1,865 | $17K |
| D9420 | 1.1% | 54 | $11K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 228 | $9K |
| D1351 | Sealant - per tooth | <1% | 286 | $7K |
| D0330 | Panoramic radiographic image | <1% | 119 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 50 | $4K |
| D9310 | <1% | 75 | $3K | |
| D9248 | <1% | 96 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 44 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 56 | $1K |
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 officialBURGESS, MYEASHA (OWNER)