NPI: 1427786292 · OVERLAND PARK, KS 66204 · Dental Clinic/Center · NPI assigned 08/10/2022
| Authorized Official | DOBBINS, WAYNE (CEO) |
| NPI Enumeration Date | 08/10/2022 |
Other providers sharing the same authorized official: DOBBINS, WAYNE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SWEET TOOTH SHAWNEE, LLC | SHAWNEE | KS | $860K |
| SWEET TOOTH OLATHE, LLC | OLATHE | KS | $852K |
| SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC | OVERLAND PARK | KS | $336K |
| SWEET TOOTH BARRY | KANSAS CITY | MO | $78K |
| MINT DENTAL OAK PARK, LLC. | LENEXA | KS | $12K |
| MINT DENTAL INDEPENDENCE, LLC. | INDEPENDENCE | MO | $4K |
| SWEET TOOTH SHAWNEE ORTHODONTICS, LLC | SHAWNEE | KS | $616.94 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 128 | $2K |
| 2024 | 1,409 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 237 | 226 | $6K |
| D0330 | Panoramic radiographic image | 244 | 232 | $6K |
| D0274 | Bitewings - four radiographic images | 193 | 191 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 72 | 29 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 335 | 309 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 321 | 227 | $3K |
| D1110 | Prophylaxis - adult | 64 | 64 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24 | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | 47 | 44 | $1K |