Dental
Pediatric Dental Center of Gardens INC
Pediatric Dental Center of Gardens INC was paid $943K by Medicaid between Nov 2021 and Dec 2024, across 30 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CENTER OF GARDENS INC
MIAMI GARDENS, FL 33056
MIAMI GARDENS, FL 33056
33aNPI1073113296assigned 10/27/2020
33bProvider typePediatric Dentist
28Total paid$943K
24GClaims79,466
24DCodes billed30
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#37 of 246
Median peer was paid$107K
This provider vs. median8.8×
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 | 432 | $5K | |
| 2022 | 19,470 | $172K | |
| 2023 | 33,709 | $502K | |
| 2024incomplete | 25,855 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 4,825 | 4,463 | $214K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 6,933 | 6,677 | $176K |
| D1110 | Prophylaxis - adult | 19% | 2,562 | 2,407 | $175K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 9,515 | 9,024 | $122K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 1,095 | 698 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 12,858 | 12,201 | $31K |
| D8660 | 2.0% | 319 | 309 | $19K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 885 | 800 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 628 | 433 | $17K |
| D1351 | Sealant - per tooth | 1.7% | 6,850 | 1,649 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 381 | 271 | $14K |
| D0330 | Panoramic radiographic image | 1.4% | 562 | 539 | $13K |
18 more codes
| D0272 | Bitewings - two radiographic images | 1.2% | 6,470 | $12K |
| D1330 | 1.1% | 12,585 | $10K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 318 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,167 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,730 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 2,111 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 22 | $3K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 112 | $2K |
| D1517 | <1% | 26 | $2K | |
| D9310 | <1% | 59 | $2K | |
| D9920 | <1% | 53 | $823.63 | |
| D8670 | Periodic orthodontic treatment visit | <1% | 14 | $746.42 |
| D0140 | Limited oral evaluation - problem focused | <1% | 52 | $527.90 |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $327.52 |
| D3120 | <1% | 52 | $80.42 | |
| D0603 | <1% | 146 | $66.00 | |
| D0601 | <1% | 99 | $38.00 | |
| D0602 | <1% | 12 | $2.00 |
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 officialACOSTA, ENRIQUE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Center of Homestead | Homestead, FL | $3.92M |
| Pediatric and Orthodontic Dental Centers of Broward | Coral Springs, FL | $2.35M |
| Pediatric Dental Center of River Landing | Miami, FL | $1.68M |
| Pediatric Dental Center of Biscayne INC | Miami, FL | $1.21M |
| Pediatric Dental Centers of Miami | Miami, FL | $437K |
| Pediatric Dental Center of Palmetto Bay INC | Palmetto Bay, FL | $258K |
| Pediatric Dental Center of West Kendall INC | Miami, FL | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.