Dental
Tabares Dental PA
Tabares Dental PA was paid $426K by Medicaid between Oct 2018 and Dec 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoTABARES DENTAL PA
LUTZ, FL 33548
LUTZ, FL 33548
33aNPI1144772583assigned 11/02/2016
33bProvider typePediatric Dentist
28Total paid$426K
24GClaims32,688
24DCodes billed21
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#70 of 246
Median peer was paid$107K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 57 | $0.00 | |
| 2019 | 67 | $494.98 | |
| 2020 | 2,201 | $35K | |
| 2021 | 1,272 | $17K | |
| 2022 | 10,741 | $143K | |
| 2023 | 10,897 | $153K | |
| 2024incomplete | 7,453 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 4,136 | 4,096 | $191K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 1,150 | 1,139 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 5,079 | 5,028 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 605 | 548 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 315 | 225 | $25K |
| D0330 | Panoramic radiographic image | 2.6% | 114 | 113 | $11K |
| D1206 | Topical application of fluoride varnish | 2.4% | 5,248 | 5,196 | $10K |
| D1330 | 1.9% | 5,376 | 5,324 | $8K | |
| D1110 | Prophylaxis - adult | 1.6% | 93 | 91 | $7K |
| D1351 | Sealant - per tooth | <1% | 703 | 204 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 2,693 | 2,670 | $4K |
| D0603 | <1% | 1,715 | 1,708 | $2K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 30 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,771 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 54 | $773.39 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,799 | $545.48 |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 20 | $400.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $126.53 |
| D0240 | <1% | 742 | $58.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 14 | $0.00 |
| D1999 | 0% | 18 | $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 officialTABARES, YADNAY (PRESIDENT)