Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › SHAWNEE › SWEET TOOTH SHAWNEE ORTHODONTICS, LLC

SWEET TOOTH SHAWNEE ORTHODONTICS, LLC

NPI: 1215512801 · SHAWNEE, KS 66217 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/15/2021

$616.94
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2023-02
First Month
2023-02
Last Month

Provider Details

Authorized OfficialDOBBINS, WAYNE (CEO)
NPI Enumeration Date03/15/2021

Related Entities

Other providers sharing the same authorized official: DOBBINS, WAYNE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $616.94

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $381.26
D1206 Topical application of fluoride varnish 13 13 $235.68