CHILDREN AND TEEN DENTAL GROUP OF FLORIDA

NPI: 1376115758 · SEMINOLE, FL 33776 · Dentist · NPI assigned 07/14/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$424K

Total Medicaid Paid

37,651

Total Claims

31,678

Beneficiaries

Codes Billed

2022-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CEO)
Parent Organization	CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
NPI Enumeration Date	07/14/2021

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	3,874	3,576	$127K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,214	707	$77K
D0150	Comprehensive oral evaluation - new or established patient	1,427	1,327	$56K
D0230	Intraoral - periapical each additional radiographic image	6,314	3,920	$37K
D1110	Prophylaxis - adult	829	812	$33K
D1206	Topical application of fluoride varnish	4,514	4,186	$15K
D0120	Periodic oral evaluation - established patient	3,079	2,852	$14K
D0330	Panoramic radiographic image	594	581	$11K
D2391	Resin-based composite - one surface, posterior, primary or permanent	371	254	$11K
D1351	Sealant - per tooth	1,102	316	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1,197	1,092	$8K
D0220	Intraoral - periapical first radiographic image	4,709	4,335	$4K
D1330		4,759	4,422	$4K
D0145	Oral evaluation for a patient under three years of age	101	101	$4K
D0274	Bitewings - four radiographic images	722	706	$3K
D7140	Extraction, erupted tooth or exposed root	89	74	$3K
D0140	Limited oral evaluation - problem focused	327	301	$3K
D0272	Bitewings - two radiographic images	1,984	1,767	$3K
D9999	Unspecified adjunctive procedure, by report	76	76	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	33	24	$981.78
D3120		178	116	$467.36
D9310		20	15	$26.00
D0602		40	29	$1.00
D0601		16	16	$0.00
D0603		39	30	$0.00
D1310		43	43	$0.00