Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Regency Square Mall Dental

Regency Square Mall Dental was paid $163K by Medicaid between Jan 2018 and Apr 2024, across 20 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 54% of everything it billed.

33Billing provider infoREGENCY SQUARE MALL DENTAL
JACKSONVILLE, FL 32225
33aNPI1033465349assigned 07/24/2012
33bProvider typeDentist
28Total paid$163K
24GClaims13,771
24DCodes billed20
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#139 of 542
Median peer was paid$25K
This provider vs. median6.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018251$3K
2019502$4K
20204,109$58K
2021331$3K
20225,164$53K
20233,195$39K
2024incomplete219$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 54% 2,003 1,917 $89K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 491 476 $20K
D1330 5.6% 758 743 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.4% 207 129 $9K
D0272 Bitewings - two radiographic images 5.3% 1,869 1,756 $9K
D0210 Intraoral - complete series of radiographic images 4.5% 225 225 $7K
D1351 Sealant - per tooth 2.9% 327 64 $5K
D0140 Limited oral evaluation - problem focused 2.1% 182 180 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.8% 76 48 $3K
D0220 Intraoral - periapical first radiographic image 1.4% 2,527 2,413 $2K
D0230 Intraoral - periapical each additional radiographic image 1.1% 2,802 2,089 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 35 24 $1K
8 more codes
D0330 Panoramic radiographic image <1% 861 $1K
D1208 Topical application of fluoride, excluding varnish <1% 717 $1K
D0270 <1% 61 $465.17
D1110 Prophylaxis - adult <1% 259 $439.00
D0274 Bitewings - four radiographic images <1% 186 $271.71
D9999 Unspecified adjunctive procedure, by report <1% 12 $240.00
D4355 <1% 15 $160.14
D1120 Dental cleaning, child <1% 158 $87.32

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 officialKRASNOV, ROSTISLAV (OWNER)
Same official

Other billing entities under KRASNOV, ROSTISLAV

Full network →
ProviderLocationPaid
Westland Mall Dental, PAHialeah, FL$923K
Cross County Mall Dental, PAWest Palm Beach, FL$906K
Broward Mall Dental, PAPlantation, FL$620K
Miami International Mall Dental, PAMiami, FL$528K
Altamonte Mall Dental PAAltamonte Springs, FL$395K
Brandon Mall Dental P.A.Brandon, FL$283K
Edison Mall Dental P.AFort Myers, FL$255K
Boynton Beach Mall Dental PABoynton Beach, FL$174K
Sawgrass Mills Mall Dental, PASunrise, FL$169K
Countryside Mall Dental PAClearwater, FL$155K
Pembroke Lakes Mall Dental PAPembroke Pines, FL$62K
Lauderhill Mall Dental, PALauderhill, FL$31K
Tyrone Square Mall Dental P.ASt Petersburg, FL$14K
Willowbrook Mall DentalHouston, TX$10K
Metrotech Dental Associates PLLCBrooklyn, NY$8K
Wheaton Mall Dental LLPWheaton, MD$3K
PG Plaze DentalHyattsville, MD$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.