Dental
Lakes Mall Dental Center , PA
Lakes Mall Dental Center , PA was paid $75K by Medicaid between Dec 2019 and Jul 2022, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoLAKES MALL DENTAL CENTER , PA
PEMBROKE PINES, FL 33026
PEMBROKE PINES, FL 33026
33aNPI1063757912assigned 12/04/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims4,487
24DCodes billed13
24AFirst – last monthDec 2019 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#193 of 568
Median peer was paid$24K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2019 | 13 | $0.00 | |
| 2020 | 1,792 | $29K | |
| 2021 | 359 | $6K | |
| 2022 | 2,323 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 480 | 473 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 466 | 454 | $24K |
| D1110 | Prophylaxis - adult | 11% | 618 | 606 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 401 | 393 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 88 | 42 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 662 | 580 | $3K |
| D1206 | Topical application of fluoride varnish | 3.1% | 344 | 341 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 55 | 26 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 70 | 67 | $996.69 |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 653 | 639 | $803.02 |
| D0274 | Bitewings - four radiographic images | <1% | 336 | 335 | $575.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 99 | 98 | $481.00 |
1 more codes
| D1330 | <1% | 215 | $327.38 |
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 officialCALDERON, ERIK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hammocks Dental Group PA | Miami, FL | $102K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.