SPRINGFIELD DENTISTRY 4 KIDS LLC

NPI: 1225737083 · SPRINGFIELD, MO 65807 · General Practice Dentistry · NPI assigned 03/01/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more

$969.60

Total Medicaid Paid

378

Total Claims

274

Beneficiaries

Codes Billed

2023-10

First Month

2024-04

Last Month

Provider Details

Authorized Official	ZWICKY, TERESA (CREDENTIALING MANAGER)
NPI Enumeration Date	03/01/2023

Other providers sharing the same authorized official: ZWICKY, TERESA

Provider	City	State	Total Paid
ROBERTS, WALLACE & ASSOCIATES PLLC	GREENSBORO	NC	$42.13M
HAPPY SMILES LLC	HORN LAKE	MS	$17.37M
YUMA DENTISTRY 4 KIDS PLLC	YUMA	AZ	$16.57M
HAPPY SMILES DENTISTRY - TUPELO LLC	TUPELO	MS	$16.23M
HAPPY SMILES DENTISTRY-MERIDIAN LLC	MERIDIAN	MS	$12.94M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC	PASCAGOULA	MS	$11.58M
ROBERTS & ASSOCIATES - GREENSBORO PLLC	GREENSBORO	NC	$10.81M
FLAGSTAFF DENTISTRY 4 KIDS, PLLC	FLAGSTAFF	AZ	$10.35M
MISSISSIPPI SMILES DENTISTRY LLC	JACKSON	MS	$10.21M
ROBERTS & ASSOCIATES PLLC	WILMINGTON	NC	$9.67M
E. P. DENTISTRY 4 KIDS, PLLC	EL PASO	TX	$8.09M
GENERAL DENTISTRY 4 KIDS-VALENCIA PLLC	TUCSON	AZ	$7.76M
ROBERTS KAMP & ASSOCIATES PLLC	GREENVILLE	NC	$6.39M
MIDLAND DENTISTRY 4 KIDS, PLLC	MIDLAND	TX	$6.37M
E. P. DENTISTRY 4 KIDS 1, PLLC	EL PASO	TX	$6.07M
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC	TUCSON	AZ	$5.17M
BRADLEY ROBERTS & ASSOCIATES PLLC	THOMASVILLE	NC	$5.16M
EP DENTISTRY 4 KIDS - MESA PLLC	EL PASO	TX	$4.85M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC	GULFPORT	MS	$4.80M
GENERAL DENTISTRY FOR KIDS LLC	TUCSON	AZ	$4.25M

Year	Claims	Total Paid
2023	110	$0.00
2024	268	$969.60

Code	Description	Claims	Beneficiaries	Total Paid
D0230	Intraoral - periapical each additional radiographic image	120	35	$417.60
D0150	Comprehensive oral evaluation - new or established patient	67	61	$416.00
D0220	Intraoral - periapical first radiographic image	41	35	$136.00
D1120	Prophylaxis - child	64	64	$0.00
D1206	Topical application of fluoride varnish	67	67	$0.00
D0603		19	12	$0.00