Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REGENCY SQUARE MALL DENTAL

NPI: 1033465349 · JACKSONVILLE, FL 32225 · Dentist · NPI assigned 07/24/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more

$163K
Total Medicaid Paid
13,771
Total Claims
12,259
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSTISLAV (OWNER)
NPI Enumeration Date07/24/2012

Related Entities

Other providers sharing the same authorized official: KRASNOV, ROSTISLAV

ProviderCityStateTotal Paid
WESTLAND MALL DENTAL, PA HIALEAH FL $923K
CROSS COUNTY MALL DENTAL, PA WEST PALM BEACH FL $906K
BROWARD MALL DENTAL, PA PLANTATION FL $620K
MIAMI INTERNATIONAL MALL DENTAL, PA MIAMI FL $528K
ALTAMONTE MALL DENTAL PA ALTAMONTE SPRINGS FL $395K
BRANDON MALL DENTAL P.A. BRANDON FL $283K
EDISON MALL DENTAL P.A FORT MYERS FL $255K
BOYNTON BEACH MALL DENTAL PA BOYNTON BEACH FL $174K
SAWGRASS MILLS MALL DENTAL, PA SUNRISE FL $169K
COUNTRYSIDE MALL DENTAL PA CLEARWATER FL $155K
PEMBROKE LAKES MALL DENTAL PA PEMBROKE PINES FL $62K
LAUDERHILL MALL DENTAL, PA LAUDERHILL FL $31K
TYRONE SQUARE MALL DENTAL P.A ST PETERSBURG FL $14K
WILLOWBROOK MALL DENTAL HOUSTON TX $10K
METROTECH DENTAL ASSOCIATES PLLC BROOKLYN NY $8K
WHEATON MALL DENTAL LLP WHEATON MD $3K
PG PLAZE DENTAL HYATTSVILLE MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 251 $3K
2019 502 $4K
2020 4,109 $58K
2021 331 $3K
2022 5,164 $53K
2023 3,195 $39K
2024 219 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 2,003 1,917 $89K
D0120 Periodic oral evaluation - established patient 491 476 $20K
D1330 758 743 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 207 129 $9K
D0272 Bitewings - two radiographic images 1,869 1,756 $9K
D0210 Intraoral - complete series of radiographic images 225 225 $7K
D1351 Sealant - per tooth 327 64 $5K
D0140 Limited oral evaluation - problem focused 182 180 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 76 48 $3K
D0220 Intraoral - periapical first radiographic image 2,527 2,413 $2K
D0230 Intraoral - periapical each additional radiographic image 2,802 2,089 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 35 24 $1K
D0330 Panoramic radiographic image 861 804 $1K
D1208 Topical application of fluoride, excluding varnish 717 703 $1K
D0270 61 61 $465.17
D1110 Prophylaxis - adult 259 258 $439.00
D0274 Bitewings - four radiographic images 186 184 $271.71
D9999 Unspecified adjunctive procedure, by report 12 12 $240.00
D4355 15 15 $160.14
D1120 Prophylaxis - child 158 158 $87.32