Clinic
Tooth Fairy Dental II LLC
Tooth Fairy Dental II LLC was paid $126K by Medicaid between May 2022 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoTOOTH FAIRY DENTAL II LLC
PINECREST, FL 33156
PINECREST, FL 33156
33aNPI1093469827assigned 02/10/2022
33bProvider typeDental Clinic/Center
28Total paid$126K
24GClaims8,665
24DCodes billed16
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#33 of 87
Median peer was paid$67K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2022 | 1,170 | $11K | |
| 2023 | 2,214 | $25K | |
| 2024incomplete | 5,281 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 1,056 | 1,048 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 1,282 | 1,272 | $12K |
| D0240 | 9.4% | 1,745 | 910 | $12K | |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 917 | 910 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.9% | 201 | 179 | $10K |
| D1110 | Prophylaxis - adult | 7.7% | 242 | 240 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 107 | 43 | $7K |
| D0272 | Bitewings - two radiographic images | 4.8% | 730 | 723 | $6K |
| D1330 | 3.9% | 1,301 | 1,291 | $5K | |
| D0274 | Bitewings - four radiographic images | 2.6% | 221 | 221 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 94 | 94 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 26 | 12 | $1K |
4 more codes
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 officialSPENCER, SCOTT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tooth Fairy Dental I LLC | Miami Lakes, FL | $607K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.