Clinic
Smile Keepers
Smile Keepers was paid $220K by Medicaid between Aug 2022 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoSMILE KEEPERS
OWOSSO, MI 48867
OWOSSO, MI 48867
33aNPI1891439832assigned 04/26/2022
33bProvider typeDental Clinic/Center
28Total paid$220K
24GClaims7,517
24DCodes billed13
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#99 of 431
Median peer was paid$24K
This provider vs. median9.1×
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 | |
|---|---|---|---|
| 2022 | 1,037 | $28K | |
| 2023 | 3,989 | $115K | |
| 2024incomplete | 2,491 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,118 | 1,118 | $45K |
| D1351 | Sealant - per tooth | 19% | 1,435 | 184 | $42K |
| D1206 | Topical application of fluoride varnish | 15% | 1,331 | 1,331 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,242 | 1,242 | $33K |
| D1110 | Prophylaxis - adult | 7.8% | 341 | 341 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 118 | 65 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 642 | 638 | $10K |
| D0274 | Bitewings - four radiographic images | 4.3% | 288 | 288 | $9K |
| D0240 | 2.8% | 289 | 145 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 546 | 503 | $5K |
| D0272 | Bitewings - two radiographic images | 1.4% | 130 | 130 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | 13 | $2K |
1 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 18 | $687.58 |
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 officialLEWIS, LISA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Kings County Behavioral Health | Hanford, CA | $21.05M |
| DR Lisa Lewis PC | Lakewood, CO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.