KIDS DENTISTREE OF IN, LLC

NPI: 1922593821 · NEW ALBANY, IN 47150 · Pediatric Dentist · NPI assigned 06/25/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$3.20M

Total Medicaid Paid

95,468

Total Claims

67,056

Beneficiaries

Codes Billed

2018-11

First Month

2024-12

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	06/25/2018

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D1354		6,620	1,636	$406K
D1120	Prophylaxis - child	11,406	10,315	$376K
D2930	Prefabricated stainless steel crown - primary tooth	2,521	1,007	$342K
D1351	Sealant - per tooth	10,851	2,039	$284K
D0120	Periodic oral evaluation - established patient	11,360	10,319	$250K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3,013	1,551	$191K
D1206	Topical application of fluoride varnish	7,407	6,573	$163K
D1110	Prophylaxis - adult	3,419	3,094	$154K
D7140	Extraction, erupted tooth or exposed root	1,969	1,109	$150K
D1208	Topical application of fluoride, excluding varnish	7,140	6,570	$144K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4,756	3,957	$131K
D0150	Comprehensive oral evaluation - new or established patient	3,621	3,217	$118K
D0272	Bitewings - two radiographic images	4,648	4,153	$93K
D0210	Intraoral - complete series of radiographic images	1,688	1,381	$85K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,446	872	$72K
D0330	Panoramic radiographic image	2,215	1,927	$68K
D0274	Bitewings - four radiographic images	1,832	1,696	$52K
D0220	Intraoral - periapical first radiographic image	3,408	2,976	$35K
D0140	Limited oral evaluation - problem focused	891	783	$31K
D0230	Intraoral - periapical each additional radiographic image	4,273	1,534	$27K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	89	53	$9K
D0240		818	246	$8K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	77	48	$8K