Dental
Smiles 4 Kids Lacey. PC
Smiles 4 Kids Lacey. PC was paid $13.17M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoSMILES 4 KIDS LACEY. PC
OLIMPIA, WA 98501
OLIMPIA, WA 98501
33aNPI1982026407assigned 01/17/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$13.17M
24GClaims535,868
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#4 of 319
Median peer was paid$22K
This provider vs. median608×
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 | 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 | |
| 2024incomplete | 88,372 | $2.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 13,146 | 2,950 | $1.95M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 49,161 | 48,912 | $1.31M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 18,660 | 9,095 | $1.23M |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 49,285 | 48,979 | $1.16M |
| D1206 | Topical application of fluoride varnish | 7.5% | 48,937 | 48,674 | $994K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 15,395 | 7,222 | $840K |
| D1351 | Sealant - per tooth | 4.6% | 26,905 | 7,082 | $606K |
| D9630 | 4.1% | 12,241 | 12,099 | $542K | |
| D9999 | Unspecified adjunctive procedure, by report | 3.0% | 13,595 | 13,502 | $400K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.0% | 4,414 | 1,516 | $398K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 48,623 | 47,732 | $394K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.8% | 4,856 | 2,623 | $366K |
19 more codes
| D0330 | Panoramic radiographic image | 2.7% | 9,893 | $355K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 8,488 | $335K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 5,759 | $327K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 15,135 | $327K |
| D0272 | Bitewings - two radiographic images | 2.3% | 33,012 | $308K |
| D1110 | Prophylaxis - adult | 2.3% | 7,940 | $303K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 123,995 | $291K |
| D9248 | 1.7% | 4,177 | $224K | |
| D2390 | <1% | 512 | $107K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,339 | $93K |
| D2332 | <1% | 836 | $90K | |
| D1999 | <1% | 5,806 | $74K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,420 | $72K |
| D0274 | Bitewings - four radiographic images | <1% | 3,652 | $39K |
| D9920 | <1% | 478 | $13K | |
| D2330 | <1% | 211 | $12K | |
| D7111 | <1% | 407 | $11K | |
| D3120 | 0% | 329 | $0.00 | |
| D1330 | 0% | 261 | $0.00 |
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 officialLEHMAN, MADISON (CREDENTIALING SPECIALIST)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.