Dental
Smiles on Broadway Dental Care
Smiles on Broadway Dental Care was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoSMILES ON BROADWAY DENTAL CARE
JACKSON, MS 39206
JACKSON, MS 39206
33aNPI1942608112assigned 12/19/2014
33bProvider typePediatric Dentist
28Total paid$1.14M
24GClaims39,456
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#27 of 81
Median peer was paid$580K
This provider vs. median2.0×
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 | 3,821 | $29K | |
| 2019 | 4,554 | $117K | |
| 2020 | 3,213 | $89K | |
| 2021 | 6,088 | $179K | |
| 2022 | 8,491 | $259K | |
| 2023 | 7,698 | $243K | |
| 2024incomplete | 5,591 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 8,049 | 6,974 | $217K |
| D1351 | Sealant - per tooth | 18% | 8,114 | 1,187 | $208K |
| D1206 | Topical application of fluoride varnish | 11% | 5,434 | 4,823 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 3,914 | 3,655 | $106K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 3,162 | 2,492 | $99K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 1,714 | 1,426 | $62K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 888 | 812 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 597 | 287 | $51K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,480 | 1,324 | $38K |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,908 | 1,610 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 280 | 137 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 2,367 | 1,908 | $32K |
7 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 356 | $27K |
| D0330 | Panoramic radiographic image | 1.3% | 382 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 319 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 53 | $8K |
| D0350 | <1% | 111 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 102 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 226 | $3K |
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 officialDAVIS, LAMONICA (PEDIATRIC DENTIST)