Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › OLIMPIA › SMILES 4 KIDS LACEY. PC

SMILES 4 KIDS LACEY. PC

NPI: 1982026407 · OLIMPIA, WA 98501 · General Practice Dentistry · NPI assigned 01/17/2014

$13.17M
Total Medicaid Paid
535,868
Total Claims
395,894
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEHMAN, MADISON (CREDENTIALING SPECIALIST)
NPI Enumeration Date01/17/2014

Related Entities

Other providers sharing the same authorized official: LEHMAN, MADISON

ProviderCityStateTotal Paid
SMILES 4 KIDS P.C. GREELEY CO $5.65M
IDAHO DENTAL AID PLLC NAMPA ID $3.58M
SMITA PATEL DES MOINES DMD PC DES MOINES WA $1.81M
KUNA KIDS DENTISTRY PC KUNA ID $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,013 $1.41M
2019 73,834 $1.58M
2020 65,465 $1.47M
2021 72,316 $1.64M
2022 86,220 $2.03M
2023 86,648 $2.57M
2024 88,372 $2.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 13,146 2,950 $1.95M
D0120 Periodic oral evaluation - established patient 49,161 48,912 $1.31M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18,660 9,095 $1.23M
D1120 Prophylaxis - child 49,285 48,979 $1.16M
D1206 Topical application of fluoride varnish 48,937 48,674 $994K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15,395 7,222 $840K
D1351 Sealant - per tooth 26,905 7,082 $606K
D9630 12,241 12,099 $542K
D9999 Unspecified adjunctive procedure, by report 13,595 13,502 $400K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4,414 1,516 $398K
D0220 Intraoral - periapical first radiographic image 48,623 47,732 $394K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4,856 2,623 $366K
D0330 Panoramic radiographic image 9,893 9,812 $355K
D0150 Comprehensive oral evaluation - new or established patient 8,488 8,397 $335K
D7140 Extraction, erupted tooth or exposed root 5,759 3,108 $327K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15,135 14,553 $327K
D0272 Bitewings - two radiographic images 33,012 31,816 $308K
D1110 Prophylaxis - adult 7,940 7,902 $303K
D0230 Intraoral - periapical each additional radiographic image 123,995 45,302 $291K
D9248 4,177 4,102 $224K
D2390 512 162 $107K
D0140 Limited oral evaluation - problem focused 4,339 4,261 $93K
D2332 836 399 $90K
D1999 5,806 5,437 $74K
D1208 Topical application of fluoride, excluding varnish 5,420 5,360 $72K
D0274 Bitewings - four radiographic images 3,652 3,611 $39K
D9920 478 465 $13K
D2330 211 123 $12K
D7111 407 255 $11K
D3120 329 184 $0.00
D1330 261 259 $0.00