KANSAS KIDS DENTAL LLC

NPI: 1457099210 · OLATHE, KS 66062 · General Practice Dentistry · NPI assigned 05/23/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more

$102K

Total Medicaid Paid

5,527

Total Claims

3,948

Beneficiaries

Codes Billed

2023-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	ZWICKY, TERESA (CREDENTIALING MANAGER)
NPI Enumeration Date	05/23/2022

Other providers sharing the same authorized official: ZWICKY, TERESA

Provider	City	State	Total Paid
ROBERTS, WALLACE & ASSOCIATES PLLC	GREENSBORO	NC	$42.13M
HAPPY SMILES LLC	HORN LAKE	MS	$17.37M
YUMA DENTISTRY 4 KIDS PLLC	YUMA	AZ	$16.57M
HAPPY SMILES DENTISTRY - TUPELO LLC	TUPELO	MS	$16.23M
HAPPY SMILES DENTISTRY-MERIDIAN LLC	MERIDIAN	MS	$12.94M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC	PASCAGOULA	MS	$11.58M
ROBERTS & ASSOCIATES - GREENSBORO PLLC	GREENSBORO	NC	$10.81M
FLAGSTAFF DENTISTRY 4 KIDS, PLLC	FLAGSTAFF	AZ	$10.35M
MISSISSIPPI SMILES DENTISTRY LLC	JACKSON	MS	$10.21M
ROBERTS & ASSOCIATES PLLC	WILMINGTON	NC	$9.67M
E. P. DENTISTRY 4 KIDS, PLLC	EL PASO	TX	$8.09M
GENERAL DENTISTRY 4 KIDS-VALENCIA PLLC	TUCSON	AZ	$7.76M
ROBERTS KAMP & ASSOCIATES PLLC	GREENVILLE	NC	$6.39M
MIDLAND DENTISTRY 4 KIDS, PLLC	MIDLAND	TX	$6.37M
E. P. DENTISTRY 4 KIDS 1, PLLC	EL PASO	TX	$6.07M
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC	TUCSON	AZ	$5.17M
BRADLEY ROBERTS & ASSOCIATES PLLC	THOMASVILLE	NC	$5.16M
EP DENTISTRY 4 KIDS - MESA PLLC	EL PASO	TX	$4.85M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC	GULFPORT	MS	$4.80M
GENERAL DENTISTRY FOR KIDS LLC	TUCSON	AZ	$4.25M

Year	Claims	Total Paid
2023	1,691	$34K
2024	3,836	$68K

Code	Description	Claims	Beneficiaries	Total Paid
D1351	Sealant - per tooth	1,015	188	$25K
D1120	Prophylaxis - child	674	654	$21K
D1206	Topical application of fluoride varnish	746	725	$14K
D0150	Comprehensive oral evaluation - new or established patient	338	330	$11K
D0230	Intraoral - periapical each additional radiographic image	1,038	409	$9K
D0272	Bitewings - two radiographic images	345	332	$8K
D0220	Intraoral - periapical first radiographic image	459	438	$6K
D0120	Periodic oral evaluation - established patient	250	241	$6K
D0330	Panoramic radiographic image	64	60	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	23	15	$2K
D0274	Bitewings - four radiographic images	17	16	$500.16
D0603		558	540	$0.00