ACADEMY KIDS DENTAL CENTER PC

NPI: 1700489903 · COLORADO SPRINGS, CO 80916 · General Practice Dentistry · NPI assigned 11/19/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$189K

Total Medicaid Paid

4,895

Total Claims

4,415

Beneficiaries

Codes Billed

2020-12

First Month

2021-01

Last Month

Provider Details

Authorized Official	URBANOZO, SHAUN (CREDENTIALING MANAGER)
Parent Organization	ACADEMY KIDS DENTAL CENTER PC
NPI Enumeration Date	11/19/2020

Other providers sharing the same authorized official: URBANOZO, SHAUN

Provider	City	State	Total Paid
MISNER DENTAL CORP	HUNTINGTON PARK	CA	$21.95M
ACADEMY KIDS DENTAL CENTER PC	COLORADO SPRINGS	CO	$20.71M
HERO DENTAL OF DENVER PC	DENVER	CO	$20.64M
HERO DENTAL OF WASHINGTON DC PC	WASHINGTON	DC	$19.23M
CAPTAIN SMILES OF GREELEY PC	GREELEY	CO	$18.75M
TWIN LAKES DENTAL PA	WICHITA	KS	$16.74M
MONTANO DDS DENTAL CENTER PC	BALTIMORE	MD	$16.50M
HERO VISION OF GREELEY LLC	GREELEY	CO	$15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS	LANDOVER HILLS	MD	$14.45M
HERO DENTAL OF AURORA PC	AURORA	CO	$13.98M
HERO DENTAL OF SPRINGS PC	COLORADO SPRINGS	CO	$13.58M
HERO DENTAL OF ALBUQUERQUE PC	ALBUQUERQUE	NM	$13.55M
RONALD B MONTANO DDS PC	BALTIMORE	MD	$12.21M
HERO VISION OF LONGMONT, LLC	LONGMONT	CO	$11.88M
COUNTRY CLUB DENTAL PA	TOPEKA	KS	$11.68M
HERO DENTAL OF WASHINGTON DC PC	WASHINGTON	DC	$11.68M
R. MISNER DENTAL CORPORATION	GLENDALE	CA	$10.86M
PARKLANE DENTAL PA	WICHITA	KS	$10.35M
HERO DENTAL OF SPRINGS PC	COLORADO SPRINGS	CO	$9.33M
PEDIATRIC DENTAL GROUP II, LLC	TULSA	OK	$8.51M

Year	Claims	Total Paid
2020	4,595	$176K
2021	300	$13K

Code	Description	Claims	Beneficiaries	Total Paid
D2150	Silver amalgam - two surfaces, primary or permanent	225	125	$23K
D8660		108	108	$15K
D1206	Topical application of fluoride varnish	811	811	$14K
D1110	Prophylaxis - adult	329	329	$14K
D0120	Periodic oral evaluation - established patient	570	570	$13K
D0350		299	149	$12K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	361	358	$11K
D1120	Prophylaxis - child	329	329	$10K
D1351	Sealant - per tooth	215	77	$7K
D2930	Prefabricated stainless steel crown - primary tooth	59	28	$7K
D0230	Intraoral - periapical each additional radiographic image	242	242	$7K
D2140		83	60	$7K
D0274	Bitewings - four radiographic images	218	218	$6K
D0330	Panoramic radiographic image	125	125	$6K
D0340		110	110	$6K
D0470		110	110	$5K
D8670	Periodic orthodontic treatment visit	39	39	$5K
D0272	Bitewings - two radiographic images	204	204	$4K
D0220	Intraoral - periapical first radiographic image	319	318	$4K
D8680		15	15	$3K
D2160		24	17	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	22	12	$2K
D7111		22	14	$1K
D1353		21	12	$709.80
D0150	Comprehensive oral evaluation - new or established patient	12	12	$452.64
D0210	Intraoral - complete series of radiographic images	23	23	$129.31