Dental
Altamonte Mall Dental PA
Altamonte Mall Dental PA was paid $395K by Medicaid between Sep 2018 and Dec 2024, across 30 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.
33Billing provider infoALTAMONTE MALL DENTAL PA
ALTAMONTE SPRINGS, FL 32701
ALTAMONTE SPRINGS, FL 32701
33aNPI1063768372assigned 07/24/2012
33bProvider typeDentist
28Total paid$395K
24GClaims31,142
24DCodes billed30
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#79 of 542
Median peer was paid$25K
This provider vs. median16×
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
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 | |
|---|---|---|---|
| 2018 | 415 | $6K | |
| 2019 | 96 | $2K | |
| 2020 | 2,929 | $44K | |
| 2021 | 1,926 | $28K | |
| 2022 | 12,590 | $168K | |
| 2023 | 8,097 | $92K | |
| 2024incomplete | 5,089 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 3,022 | 2,992 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,817 | 1,801 | $86K |
| D1351 | Sealant - per tooth | 9.3% | 1,703 | 364 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 568 | 299 | $34K |
| D1330 | 4.0% | 2,976 | 2,948 | $16K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 215 | 124 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 140 | 139 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 2,810 | 2,784 | $8K |
| D4346 | 2.0% | 142 | 141 | $8K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 178 | 113 | $7K |
| D0330 | Panoramic radiographic image | 1.6% | 1,643 | 1,624 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 183 | 175 | $6K |
18 more codes
| D1110 | Prophylaxis - adult | 1.2% | 1,676 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 329 | $5K |
| D0272 | Bitewings - two radiographic images | 1.1% | 2,886 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 106 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,550 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,298 | $2K |
| D2335 | <1% | 41 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 54 | $2K |
| D1120 | Dental cleaning, child | <1% | 723 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 841 | $1K |
| D2394 | <1% | 26 | $956.87 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 17 | $820.00 |
| D0601 | <1% | 87 | $408.76 | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 14 | $280.00 |
| D0340 | <1% | 26 | $235.87 | |
| D4355 | <1% | 23 | $226.78 | |
| D1206 | Topical application of fluoride varnish | <1% | 36 | $195.23 |
| D0602 | 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.
From NPPES
Who's on the registration
Authorized officialKRASNOV, ROSTISLAV (OWNER)
| Provider | Location | 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 |
| 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 |
| Regency Square Mall Dental | Jacksonville, FL | $163K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.