CHILDREN AND TEEN DENTAL GROUP OF ALABAMA

NPI: 1205401304 · TRUSSVILLE, AL 35173 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/21/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$1.17M

Total Medicaid Paid

48,405

Total Claims

45,382

Beneficiaries

Codes Billed

2021-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (COO)
Parent Organization	CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
NPI Enumeration Date	05/21/2021

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	7,283	7,071	$213K
D0120	Periodic oral evaluation - established patient	8,544	8,305	$172K
D1208	Topical application of fluoride, excluding varnish	8,265	8,022	$125K
D0272	Bitewings - two radiographic images	6,330	6,113	$103K
D1110	Prophylaxis - adult	2,046	1,989	$81K
D1999		4,080	3,657	$71K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	790	608	$66K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2,599	2,395	$63K
D0330	Panoramic radiographic image	1,459	1,401	$62K
D1206	Topical application of fluoride varnish	1,861	1,799	$46K
D2930	Prefabricated stainless steel crown - primary tooth	318	236	$35K
D0150	Comprehensive oral evaluation - new or established patient	1,215	1,154	$34K
D7140	Extraction, erupted tooth or exposed root	450	294	$24K
D2391	Resin-based composite - one surface, posterior, primary or permanent	265	225	$18K
D1351	Sealant - per tooth	772	226	$18K
D0274	Bitewings - four radiographic images	544	537	$12K
D1354		338	176	$11K
D0220	Intraoral - periapical first radiographic image	716	679	$8K
D0145	Oral evaluation for a patient under three years of age	276	266	$7K
D0140	Limited oral evaluation - problem focused	210	190	$5K
D0240		44	39	$812.70