NPI: 1750055182 · PALM HARBOR, FL 34684 · Dentist · NPI assigned 08/09/2021
Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRIAN (CEO) |
| Parent Organization | CHILDREN AND TEEN DENTAL GROUP OF FLORIDA |
| NPI Enumeration Date | 08/09/2021 |
Other providers sharing the same authorized official: SMITH, BRIAN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 29,552 | $620K |
| 2023 | 73,603 | $1.50M |
| 2024 | 67,960 | $1.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 12,514 | 12,426 | $629K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5,874 | 1,816 | $491K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6,165 | 3,920 | $412K |
| D1110 | Prophylaxis - adult | 4,617 | 4,581 | $295K |
| D9420 | 1,344 | 1,306 | $277K | |
| D7240 | Removal of impacted tooth - completely bony | 675 | 224 | $141K |
| D2390 | 693 | 256 | $137K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3,306 | 2,301 | $123K |
| D0230 | Intraoral - periapical each additional radiographic image | 24,584 | 17,346 | $98K |
| D7140 | Extraction, erupted tooth or exposed root | 4,151 | 1,834 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,196 | 2,181 | $74K |
| D0120 | Periodic oral evaluation - established patient | 14,520 | 14,398 | $63K |
| D1206 | Topical application of fluoride varnish | 16,348 | 16,221 | $53K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 339 | 302 | $40K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2,120 | 864 | $39K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5,660 | 5,412 | $33K |
| D0330 | Panoramic radiographic image | 1,439 | 1,415 | $32K |
| D0274 | Bitewings - four radiographic images | 4,577 | 4,539 | $27K |
| D1351 | Sealant - per tooth | 6,791 | 2,258 | $24K |
| D0140 | Limited oral evaluation - problem focused | 1,955 | 1,930 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 19,067 | 18,762 | $17K |
| D1510 | 159 | 108 | $15K | |
| D7230 | 135 | 58 | $15K | |
| D0272 | Bitewings - two radiographic images | 8,505 | 8,452 | $15K |
| D1330 | 17,266 | 17,123 | $13K | |
| D1354 | 914 | 454 | $10K | |
| D2330 | 470 | 239 | $9K | |
| D9222 | 302 | 301 | $7K | |
| D2332 | 249 | 139 | $7K | |
| D9310 | 1,043 | 1,025 | $7K | |
| D0240 | 521 | 411 | $6K | |
| D3120 | 1,566 | 1,072 | $6K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 283 | 282 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 124 | 124 | $5K |
| D7111 | 70 | 38 | $1K | |
| D9999 | Unspecified adjunctive procedure, by report | 38 | 38 | $890.00 |
| D2331 | 14 | 12 | $536.00 | |
| D9612 | 176 | 175 | $159.00 | |
| D0350 | 129 | 125 | $125.40 | |
| D0601 | 15 | 15 | $0.00 | |
| D0603 | 178 | 177 | $0.00 | |
| D0602 | 23 | 23 | $0.00 |