BETTIS ACADEMY DENTISTRY, LLC

NPI: 1386255214 · GRANITEVILLE, SC 29829 · General Practice Dentistry · NPI assigned 08/13/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$6K

Total Medicaid Paid

187

Total Claims

187

Beneficiary Records

Codes Billed

2022-08

First Month

2023-02

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (OWNER)
NPI Enumeration Date	08/13/2020

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

Year	Claims	Total Paid
2022	174	$6K
2023	13	$231.20

Code	Description	Claims	Bene. Records	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	40	40	$2K
D0330	Panoramic radiographic image	34	34	$1K
D1110	Prophylaxis - adult	21	21	$1K
D1120	Prophylaxis - child	18	18	$626.40
D1206	Topical application of fluoride varnish	26	26	$421.20
D0274	Bitewings - four radiographic images	20	20	$330.12
D0272	Bitewings - two radiographic images	15	15	$284.10
D0120	Periodic oral evaluation - established patient	13	13	$231.20