DENTAL GROUP OF SOUTH FLORIDA,INC
NPI: 1073720645
· MIAMI, FL 33175
· General Practice Dentistry
· NPI assigned 05/16/2007
$698.35
Total Medicaid Paid
Provider Details
| Authorized Official | ALVAREZ, MARIA (PRESIDENT) |
| NPI Enumeration Date | 05/16/2007 |
Related Entities
Other providers sharing the same authorized official: ALVAREZ, MARIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
431 |
$698.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
69 |
$183.20 |
| D1110 |
Prophylaxis - adult |
43 |
43 |
$165.24 |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$162.00 |
| D0274 |
Bitewings - four radiographic images |
55 |
55 |
$96.00 |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
72 |
$38.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
68 |
68 |
$30.02 |
| D1330 |
|
69 |
69 |
$23.85 |