NPI: 1952002230 · KANSAS CITY, MO 64155 · Dental Clinic/Center · NPI assigned 03/14/2023
| Authorized Official | DOBBINS, WAYNE (OWNER/DENTIST) |
| NPI Enumeration Date | 03/14/2023 |
Other providers sharing the same authorized official: DOBBINS, WAYNE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SWEET TOOTH SHAWNEE, LLC | SHAWNEE | KS | $860K |
| SWEET TOOTH OLATHE, LLC | OLATHE | KS | $852K |
| SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC | OVERLAND PARK | KS | $336K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 106 | $2K |
| 2024 | 3,795 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 873 | 119 | $22K |
| D1120 | Prophylaxis - child | 406 | 405 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,098 | 375 | $11K |
| D1206 | Topical application of fluoride varnish | 484 | 476 | $9K |
| D0120 | Periodic oral evaluation - established patient | 315 | 311 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 406 | 397 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 164 | 158 | $5K |
| D0274 | Bitewings - four radiographic images | 94 | 91 | $3K |
| D0140 | Limited oral evaluation - problem focused | 24 | 24 | $684.42 |
| D0272 | Bitewings - two radiographic images | 25 | 25 | $580.73 |
| D0330 | Panoramic radiographic image | 12 | 12 | $388.10 |