Dental
Little Smiles Pediatric Dentistry
Little Smiles Pediatric Dentistry was paid $207K by Medicaid between Nov 2018 and Nov 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoLITTLE SMILES PEDIATRIC DENTISTRY
PORTLAND, OR 97202
PORTLAND, OR 97202
33aNPI1891952982assigned 05/17/2008
33bProvider typePediatric Dentist
28Total paid$207K
24GClaims7,661
24DCodes billed11
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#67 of 109
Median peer was paid$362K
This provider vs. median0.6×
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 | 70 | $2K | |
| 2019 | 812 | $25K | |
| 2020 | 911 | $21K | |
| 2021 | 1,195 | $31K | |
| 2022 | 1,885 | $52K | |
| 2023 | 1,848 | $52K | |
| 2024incomplete | 940 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 1,745 | 1,740 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,637 | 1,635 | $44K |
| D1206 | Topical application of fluoride varnish | 15% | 1,549 | 1,541 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 944 | 681 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 857 | 833 | $15K |
| D0272 | Bitewings - two radiographic images | 6.8% | 566 | 559 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 90 | 89 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 32 | 14 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 115 | 115 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 37 | 37 | $995.00 |
| D1999 | <1% | 89 | 85 | $574.00 |
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 officialPELLEY, CYNTHIA (P.C., PEDIATRIC DENTIST)