Dental
Da Costa, Walmir
Da Costa, Walmir was paid $364K by Medicaid between Jul 2021 and Sep 2023, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoDA COSTA, WALMIR
EUSTIS, FL 32726
EUSTIS, FL 32726
33aNPI1023539699assigned 07/04/2017
33bProvider typePediatric Dentist
28Total paid$364K
24GClaims47,776
24DCodes billed31
24AFirst – last monthJul 2021 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#79 of 246
Median peer was paid$107K
This provider vs. median3.4×
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 | 2,713 | $57K | |
| 2022 | 35,906 | $272K | |
| 2023 | 9,157 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 4,830 | 4,047 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 1,967 | 1,626 | $71K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 2,013 | 580 | $57K |
| D1510 | 13% | 399 | 271 | $48K | |
| D1110 | Prophylaxis - adult | 5.3% | 874 | 733 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 1,771 | 738 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 395 | 248 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 748 | 379 | $8K |
| D1351 | Sealant - per tooth | 1.7% | 2,634 | 648 | $6K |
| D9310 | 1.4% | 452 | 421 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 2,004 | 1,499 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 884 | 754 | $5K |
19 more codes
| D0330 | Panoramic radiographic image | 1.2% | 155 | $4K |
| D0240 | 1.1% | 2,509 | $4K | |
| D2330 | <1% | 326 | $2K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 59 | $1K |
| D9920 | <1% | 91 | $914.78 | |
| D0120 | Dental checkup, returning patient | <1% | 3,511 | $585.37 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,688 | $298.41 |
| D0272 | Bitewings - two radiographic images | <1% | 3,685 | $265.69 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,796 | $124.24 |
| D0274 | Bitewings - four radiographic images | <1% | 666 | $65.40 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,745 | $41.62 |
| D1330 | <1% | 5,671 | $6.00 | |
| D0602 | <1% | 548 | $3.00 | |
| D0601 | <1% | 403 | $3.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 262 | $0.00 |
| D0603 | 0% | 920 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 193 | $0.00 |
| D9986 | 0% | 565 | $0.00 | |
| D9987 | 0% | 12 | $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.