Dental
Sweet Tooth Shawnee Orthodontics, LLC
Sweet Tooth Shawnee Orthodontics, LLC was paid $616.94 by Medicaid between Feb 2023 and Feb 2023, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoSWEET TOOTH SHAWNEE ORTHODONTICS, LLC
SHAWNEE, KS 66217
SHAWNEE, KS 66217
33aNPI1215512801assigned 03/15/2021
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$616.94
24GClaims25
24DCodes billed2
24AFirst – last monthFeb 2023 – Feb 2023
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 | |
|---|---|---|---|
| 2023 | 25 | $616.94 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 12 | 12 | $381.26 |
| D1206 | Topical application of fluoride varnish | 38% | 13 | 13 | $235.68 |
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 officialDOBBINS, WAYNE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sweet Tooth Shawnee, LLC | Shawnee, KS | $860K |
| Sweet Tooth Olathe, LLC | Olathe, KS | $852K |
| Sweet Tooth Pediatric Dentistry & Orthodontic Specialists LLC | Overland Park, KS | $336K |
| Sweet Tooth Barry | Kansas City, MO | $78K |
| Mint Dental Antioch LLC | Overland Park, KS | $34K |
| Mint Dental Oak Park, LLC. | Lenexa, KS | $12K |
| Mint Dental Independence, LLC. | Independence, MO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.