Dental
Kids Smiles Pedo, PLLC
Kids Smiles Pedo, PLLC was paid $3.52M by Medicaid between May 2021 and Dec 2024, across 31 billing codes. Its largest line is D9420, — 36% of everything it billed.
33Billing provider infoKIDS SMILES PEDO, PLLC
TAMPA, FL 33612
TAMPA, FL 33612
33aNPI1942752282assigned 11/03/2016
33bProvider typePediatric Dentist
28Total paid$3.52M
24GClaims157,319
24DCodes billed31
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#8 of 246
Median peer was paid$107K
This provider vs. median33×
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 | 3,554 | $76K | |
| 2022 | 54,794 | $1.33M | |
| 2023 | 55,255 | $1.39M | |
| 2024incomplete | 43,716 | $735K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9420 | 36% | 2,860 | 2,672 | $1.27M | |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 14,081 | 13,783 | $531K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 10,408 | 2,505 | $223K |
| D1110 | Prophylaxis - adult | 6.3% | 3,598 | 3,516 | $221K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 13,301 | 8,015 | $215K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 5,677 | 5,542 | $193K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 3,608 | 1,858 | $163K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 8,743 | 3,413 | $127K |
| D9248 | 2.4% | 437 | 435 | $86K | |
| D7962 | 2.3% | 748 | 735 | $82K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 3,553 | 1,730 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 14,854 | 14,562 | $58K |
19 more codes
| D1206 | Topical application of fluoride varnish | 1.2% | 12,822 | $43K |
| D1351 | Sealant - per tooth | <1% | 6,805 | $35K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,554 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 3,106 | $21K |
| D0330 | Panoramic radiographic image | <1% | 333 | $21K |
| D7961 | <1% | 201 | $21K | |
| D2335 | <1% | 723 | $16K | |
| D0272 | Bitewings - two radiographic images | <1% | 9,161 | $15K |
| D1330 | <1% | 18,516 | $13K | |
| D1510 | <1% | 24 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,009 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,072 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 609 | $9K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 347 | $8K |
| D2330 | <1% | 490 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,949 | $2K |
| D3120 | <1% | 956 | $2K | |
| D0350 | <1% | 1,749 | $1K | |
| D0240 | <1% | 25 | $41.81 |
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 officialJORDAN, NEELY (DIRECTOR OF OPERATIONS)
Parent organizationKIDS SMILES PARTNERS, PLLC
| Provider | Location | Paid |
|---|---|---|
| Kids Smiles Dental, PLLC | Tampa, FL | $640K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.