Dental
Britetooth Dba Spa Dental
Britetooth Dba Spa Dental was paid $41K by Medicaid between Aug 2024 and Dec 2024, across 12 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 24% of everything it billed.
33Billing provider infoBRITETOOTH DBA SPA DENTAL
CENTERVILLE, OH 45459
CENTERVILLE, OH 45459
33aNPI1770330482assigned 05/01/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$41K
24GClaims1,039
24DCodes billed12
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#433 of 870
Median peer was paid$40K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 1,039 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 24% | 234 | 232 | $10K |
| D1110 | Prophylaxis - adult | 22% | 144 | 144 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 125 | 125 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 8.5% | 31 | 19 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.9% | 25 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 274 | 273 | $3K |
| D0330 | Panoramic radiographic image | 5.4% | 26 | 26 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.0% | 20 | 15 | $2K |
| D0274 | Bitewings - four radiographic images | 4.7% | 59 | 59 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 53 | 53 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 24 | 24 | $917.28 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | 13 | $216.26 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGRIFFIN, MANDY (OFFICE MANAGER)