CHILDREN AND TEEN DENTAL GROUP OF FLORIDA

NPI: 1336722388 · WINTER HAVEN, FL 33880 · General Practice Dentistry · NPI assigned 04/28/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$1.11M

Total Medicaid Paid

102,731

Total Claims

96,944

Beneficiaries

Codes Billed

2021-08

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CFO)
Parent Organization	CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
NPI Enumeration Date	04/28/2021

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	9,550	9,314	$435K
D1110	Prophylaxis - adult	3,642	3,598	$205K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3,492	2,087	$178K
D0150	Comprehensive oral evaluation - new or established patient	3,112	3,051	$84K
D7140	Extraction, erupted tooth or exposed root	1,037	686	$44K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,232	820	$31K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	279	223	$29K
D0240		335	332	$25K
D0230	Intraoral - periapical each additional radiographic image	12,488	12,162	$21K
D0330	Panoramic radiographic image	111	111	$11K
D0274	Bitewings - four radiographic images	3,482	3,426	$9K
D2930	Prefabricated stainless steel crown - primary tooth	42	36	$9K
D7111		240	148	$7K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3,699	3,512	$6K
D0140	Limited oral evaluation - problem focused	519	516	$5K
D1351	Sealant - per tooth	1,729	528	$4K
D0120	Periodic oral evaluation - established patient	10,137	9,914	$2K
D1206	Topical application of fluoride varnish	13,282	12,975	$1K
D0272	Bitewings - two radiographic images	7,465	7,312	$713.22
D0220	Intraoral - periapical first radiographic image	13,266	12,918	$695.70
D1330		13,443	13,138	$655.53
D3120		95	84	$82.10
D1999		18	18	$0.00
D1208	Topical application of fluoride, excluding varnish	36	35	$0.00