CHILDREN AND TEEN DENTAL GROUP OF ALABAMA

NPI: 1679931950 · TUSCALOOSA, AL 35406 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/02/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$2.84M

Total Medicaid Paid

93,411

Total Claims

80,161

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	SMITH, BRIAN (CFO)
NPI Enumeration Date	02/02/2016

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
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
SOUTHEAST ARKANSAS PHARMACIES LLC	MONTICELLO	AR	$7K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	15,482	14,797	$304K
D1120	Prophylaxis - child	9,064	8,654	$266K
D7240	Removal of impacted tooth - completely bony	1,507	365	$239K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2,955	1,553	$221K
D1208	Topical application of fluoride, excluding varnish	15,108	14,331	$218K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3,487	1,446	$217K
D1110	Prophylaxis - adult	4,403	4,264	$175K
D1999		9,960	8,787	$172K
D2930	Prefabricated stainless steel crown - primary tooth	1,628	665	$162K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	7,333	6,497	$158K
D0330	Panoramic radiographic image	3,086	2,933	$150K
D0272	Bitewings - two radiographic images	8,246	7,827	$148K
D7140	Extraction, erupted tooth or exposed root	2,252	1,041	$116K
D1206	Topical application of fluoride varnish	2,372	2,299	$68K
D9222		517	432	$57K
D0140	Limited oral evaluation - problem focused	1,733	1,600	$46K
D0150	Comprehensive oral evaluation - new or established patient	1,808	1,611	$45K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	516	428	$36K
D1351	Sealant - per tooth	1,346	352	$28K
D1354		301	95	$10K
D0240		241	133	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	14	14	$2K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	20	12	$2K
D0145	Oral evaluation for a patient under three years of age	32	25	$607.20