CHILDREN AND TEEN DENTAL GROUP OF PENNSYLVANIA PC

NPI: 1124576004 · KENNETT SQUARE, PA 19348 · Pediatric Dentist · NPI assigned 09/20/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$122K

Total Medicaid Paid

4,787

Total Claims

4,673

Beneficiaries

Codes Billed

2022-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CFO)
NPI Enumeration Date	09/20/2016

Other providers sharing the same authorized official: SMITH, BRIAN

Provider	City	State	Total Paid
MOUNT AUBURN HOSPITAL	CAMBRIDGE	MA	$27.96M
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA	LAKELAND	FL	$11.61M
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC	PHILADELPHIA	PA	$4.88M
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA	TUSCALOOSA	AL	$2.84M
ABRIAL ADULT SERVICES, LLC	RICHMOND	VA	$2.67M
BRIAN K. SMITH, D.D.S., M.D., INC.	LAKEWOOD	OH	$1.92M
MOUNT AUBURN PROFESSIONAL SERVICES INC	CAMBRIDGE	MA	$1.73M
SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC	SPRINGFIELD	MA	$1.53M
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE	SHREVEPORT	LA	$991K
SOUTHWEST ALLEN COUNTY SCHOOLS	FORT WAYNE	IN	$474K
CURRY COMMUNITY HEALTH	GOLD BEACH	OR	$332K
CITY OF EATON	EATON	OH	$236K
THE SIDELINE PHYSICAL THERAPY	MARTIN	TN	$211K
UMASS MEMORIAL MEDICAL CENTER, INC.	WORCESTER	MA	$202K
GALENA USD499	GALENA	KS	$169K
MOUNT AUBURN HOSPITAL	WATERTOWN	MA	$144K
SMITH AUDIOLOGY CONSULTING, INC.	AKRON	OH	$87K
SIREN FAMILY EYECARE, LLC	SIREN	WI	$75K
GREYSTONE NEUROLOGY AND PAIN CENTERS, INC	BIRMINGHAM	AL	$75K
VERSAILLES FAMILY MEDICINE, PLLC	VERSAILLES	KY	$45K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	981	977	$26K
D0120	Periodic oral evaluation - established patient	1,103	1,097	$24K
D1206	Topical application of fluoride varnish	1,224	1,211	$24K
D1110	Prophylaxis - adult	251	248	$10K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	285	255	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	91	61	$6K
D0272	Bitewings - two radiographic images	311	311	$6K
D2930	Prefabricated stainless steel crown - primary tooth	26	24	$3K
D0150	Comprehensive oral evaluation - new or established patient	141	141	$3K
D0330	Panoramic radiographic image	67	67	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	36	27	$2K
D0220	Intraoral - periapical first radiographic image	151	137	$1K
D0240		48	45	$1K
D0274	Bitewings - four radiographic images	32	32	$945.65
D0230	Intraoral - periapical each additional radiographic image	40	40	$413.06