KIDS DENTISTREE OF IN, LLC

NPI: 1588159339 · AVON, IN 46123 · Pediatric Dentist · NPI assigned 06/25/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$2.68M

Total Medicaid Paid

83,230

Total Claims

62,673

Beneficiaries

Codes Billed

2019-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	06/25/2018

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	11,238	10,339	$366K
D2930	Prefabricated stainless steel crown - primary tooth	2,175	757	$300K
D1206	Topical application of fluoride varnish	13,876	12,745	$288K
D0120	Periodic oral evaluation - established patient	11,814	10,857	$253K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3,260	1,759	$203K
D1351	Sealant - per tooth	6,721	1,192	$184K
D7140	Extraction, erupted tooth or exposed root	2,455	1,219	$182K
D1110	Prophylaxis - adult	3,048	2,827	$140K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3,714	3,327	$107K
D0272	Bitewings - two radiographic images	4,659	4,284	$102K
D0240		6,758	2,859	$100K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,606	1,036	$85K
D0150	Comprehensive oral evaluation - new or established patient	2,312	2,111	$78K
D1354		1,172	411	$67K
D0330	Panoramic radiographic image	1,327	1,189	$63K
D0140	Limited oral evaluation - problem focused	1,317	1,152	$40K
D0274	Bitewings - four radiographic images	1,095	1,033	$35K
D0210	Intraoral - complete series of radiographic images	1,046	729	$23K
D0220	Intraoral - periapical first radiographic image	2,146	1,839	$21K
D0145	Oral evaluation for a patient under three years of age	565	536	$18K
D2330		189	112	$12K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	100	79	$8K
D0230	Intraoral - periapical each additional radiographic image	637	281	$6K