CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC

NPI: 1871916379 · BIG SPRING, TX 79720 · Dental Clinic/Center · NPI assigned 02/04/2014

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$481K

Total Medicaid Paid

20,560

Total Claims

15,479

Beneficiaries

Codes Billed

2020-11

First Month

2023-05

Last Month

Provider Details

Authorized Official	JAMES, STEVE (CFO)
NPI Enumeration Date	02/04/2014

Other providers sharing the same authorized official: JAMES, STEVE

Provider	City	State	Total Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC	LOUISVILLE	KY	$9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC	JEFFERSONVILLE	IN	$6.37M
KIDS DENTISTRY-NEW ALBANY	NEW ALBANY	IN	$4.61M
KIDS DENTISTREE - WESTPORT VILLAGE	LOUISVILLE	KY	$4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION	LOUISVILLE	KY	$3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC	NEW ALBANY	IN	$1.99M
SUMMIT DENTAL HEALTH - E STREET LLC	OMAHA	NE	$1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC	LA VISTA	NE	$1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC	LOUISVILLE	KY	$1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC	OMAHA	NE	$1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC	BELLEVUE	NE	$1.60M
SUMMIT DENTAL HEALTH - CENTER LLC	OMAHA	NE	$1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC	OMAHA	NE	$1.21M
MORTENSON FAMILY DENTAL CENTER	LOUISVILLE	KY	$1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC	VERSAILLES	KY	$793K
MORTENSON FAMILY DENTAL CENTER	CRESTWOOD	KY	$631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC	LOUISVILLE	KY	$554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC	ELIZABETHTOWN	KY	$546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC	OMAHA	NE	$543K
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST	SHELBYVILLE	KY	$443K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,020	514	$94K
D1351	Sealant - per tooth	1,824	389	$48K
D1120	Prophylaxis - child	1,224	1,202	$41K
D0120	Periodic oral evaluation - established patient	1,400	1,372	$38K
D0230	Intraoral - periapical each additional radiographic image	4,601	1,945	$37K
D2930	Prefabricated stainless steel crown - primary tooth	245	122	$33K
D0145	Oral evaluation for a patient under three years of age	231	226	$31K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1,026	946	$26K
D1110	Prophylaxis - adult	463	454	$24K
D1206	Topical application of fluoride varnish	1,714	1,683	$23K
D0220	Intraoral - periapical first radiographic image	2,058	2,003	$18K
D0274	Bitewings - four radiographic images	592	582	$16K
D0272	Bitewings - two radiographic images	869	848	$16K
D0150	Comprehensive oral evaluation - new or established patient	457	452	$14K
D0330	Panoramic radiographic image	381	375	$11K
D2391	Resin-based composite - one surface, posterior, primary or permanent	121	80	$7K
D0210	Intraoral - complete series of radiographic images	40	40	$2K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	21	14	$1K
D0603		1,259	1,231	$0.00
D0602		1,014	1,001	$0.00