CHILDREN AND TEEN DENTAL GROUP OF ALABAMA

NPI: 1285160804 · OXFORD, AL 36203 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/02/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$7.24M

Total Medicaid Paid

270,749

Total Claims

239,601

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CFO)
NPI Enumeration Date	05/02/2017

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	32,232	31,358	$896K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10,919	8,089	$875K
D0120	Periodic oral evaluation - established patient	36,859	35,930	$703K
D1999		27,272	25,702	$514K
D2930	Prefabricated stainless steel crown - primary tooth	4,674	3,124	$476K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7,235	5,257	$455K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	20,275	18,959	$440K
D1208	Topical application of fluoride, excluding varnish	28,691	27,744	$412K
D7140	Extraction, erupted tooth or exposed root	6,645	4,043	$355K
D1206	Topical application of fluoride varnish	13,438	13,197	$345K
D0272	Bitewings - two radiographic images	20,135	19,482	$345K
D0330	Panoramic radiographic image	5,228	5,056	$241K
D1110	Prophylaxis - adult	6,343	6,198	$239K
D0230	Intraoral - periapical each additional radiographic image	18,340	6,272	$163K
D0220	Intraoral - periapical first radiographic image	12,892	12,285	$138K
D0140	Limited oral evaluation - problem focused	4,961	4,708	$134K
D0150	Comprehensive oral evaluation - new or established patient	5,381	5,133	$129K
D2932		1,255	583	$120K
D0274	Bitewings - four radiographic images	4,765	4,659	$110K
D2330		1,085	761	$60K
D2331		871	626	$60K
D1351	Sealant - per tooth	1,174	374	$26K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	79	61	$5K