Clinic
Sweet Tooth Shawnee, LLC
Sweet Tooth Shawnee, LLC was paid $860K by Medicaid between Jul 2021 and Nov 2024, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.
33Billing provider infoSWEET TOOTH SHAWNEE, LLC
SHAWNEE, KS 66217
SHAWNEE, KS 66217
33aNPI1881279461assigned 03/15/2021
33bProvider typeDental Clinic/Center
28Total paid$860K
24GClaims34,148
24DCodes billed22
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#5 of 41
Median peer was paid$98K
This provider vs. median8.8×
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 | |
|---|---|---|---|
| 2021 | 1,564 | $30K | |
| 2022 | 7,761 | $213K | |
| 2023 | 14,270 | $370K | |
| 2024incomplete | 10,553 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 22% | 7,000 | 1,051 | $185K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 1,371 | 225 | $142K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,943 | 2,867 | $96K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 7,532 | 2,426 | $75K |
| D1206 | Topical application of fluoride varnish | 7.1% | 3,320 | 3,221 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 1,716 | 1,685 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 594 | 177 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 1,657 | 1,623 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,682 | 2,547 | $34K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,141 | 1,016 | $31K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 854 | 740 | $27K |
| D0274 | Bitewings - four radiographic images | 2.0% | 548 | 533 | $17K |
10 more codes
| D0330 | Panoramic radiographic image | 1.7% | 445 | $15K |
| D0240 | 1.7% | 893 | $14K | |
| D0272 | Bitewings - two radiographic images | 1.2% | 492 | $11K |
| D1110 | Prophylaxis - adult | 1.2% | 264 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 93 | $7K |
| D2332 | <1% | 36 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $1K |
| D9920 | <1% | 48 | $780.00 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 16 | $81.20 |
| D1999 | 0% | 485 | $0.00 |
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 officialDOBBINS, WAYNE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sweet Tooth Olathe, LLC | Olathe, KS | $852K |
| Sweet Tooth Pediatric Dentistry & Orthodontic Specialists LLC | Overland Park, KS | $336K |
| Sweet Tooth Barry | Kansas City, MO | $78K |
| Mint Dental Antioch LLC | Overland Park, KS | $34K |
| Mint Dental Oak Park, LLC. | Lenexa, KS | $12K |
| Mint Dental Independence, LLC. | Independence, MO | $4K |
| Sweet Tooth Shawnee Orthodontics, LLC | Shawnee, KS | $616.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.