CHILDREN AND TEEN DENTAL GROUP OF FLORIDA

NPI: 1518749944 · PALM HARBOR, FL 34683 · Pediatric Dentist · NPI assigned 10/19/2023

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

292

Total Claims

249

Beneficiaries

Codes Billed

2024-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CFO)
Parent Organization	CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
NPI Enumeration Date	10/19/2023

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
2024	292	$6K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	29	15	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	18	12	$1K
D1110	Prophylaxis - adult	31	30	$1K
D1206	Topical application of fluoride varnish	28	27	$900.99
D0274	Bitewings - four radiographic images	33	32	$448.00
D0220	Intraoral - periapical first radiographic image	55	54	$245.00
D0230	Intraoral - periapical each additional radiographic image	53	35	$192.00
D1330		45	44	$178.02