Clinic
Tooth Fairy Dental I LLC
Tooth Fairy Dental I LLC was paid $607K by Medicaid between May 2022 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoTOOTH FAIRY DENTAL I LLC
MIAMI LAKES, FL 33014
MIAMI LAKES, FL 33014
33aNPI1487308201assigned 02/10/2022
33bProvider typeDental Clinic/Center
28Total paid$607K
24GClaims42,639
24DCodes billed22
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#10 of 87
Median peer was paid$67K
This provider vs. median9.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 9,220 | $167K | |
| 2023 | 15,811 | $270K | |
| 2024incomplete | 17,608 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 4,290 | 4,204 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,619 | 774 | $103K |
| D1110 | Prophylaxis - adult | 14% | 1,484 | 1,454 | $83K |
| D0330 | Panoramic radiographic image | 9.9% | 780 | 764 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 3,723 | 3,655 | $52K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.6% | 1,265 | 1,015 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 903 | 891 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 997 | 508 | $24K |
| D0240 | 3.1% | 5,169 | 3,644 | $19K | |
| D1351 | Sealant - per tooth | 2.5% | 3,348 | 803 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 391 | 192 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 5,246 | 5,147 | $13K |
10 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 186 | $7K |
| D1330 | 1.1% | 5,241 | $7K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,082 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 33 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 1,411 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,684 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,578 | $943.52 |
| D0140 | Limited oral evaluation - problem focused | <1% | 149 | $908.81 |
| D9920 | <1% | 45 | $755.26 | |
| D0602 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSPENCER, SCOTT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tooth Fairy Dental II LLC | Pinecrest, FL | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.