Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Pembroke Lakes Mall Dental PA

Pembroke Lakes Mall Dental PA was paid $62K by Medicaid between Dec 2022 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 61% of everything it billed.

33Billing provider infoPEMBROKE LAKES MALL DENTAL PA
PEMBROKE PINES, FL 33026
33aNPI1144945882assigned 10/05/2022
28Total paid$62K
24GClaims7,118
24DCodes billed14
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#208 of 568
Median peer was paid$24K
This provider vs. median2.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2022214$2K
20233,763$42K
2024incomplete3,141$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 61% 1,301 1,246 $38K
D0210 Intraoral - complete series of radiographic images 13% 124 124 $8K
D0330 Panoramic radiographic image 11% 1,183 1,127 $7K
D0272 Bitewings - two radiographic images 3.4% 1,233 1,184 $2K
D0220 Intraoral - periapical first radiographic image 2.9% 1,331 1,253 $2K
D0140 Limited oral evaluation - problem focused 2.0% 135 124 $1K
D0230 Intraoral - periapical each additional radiographic image 2.0% 1,249 1,162 $1K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.5% 21 12 $912.25
D9310 <1% 33 31 $533.71
D1208 Topical application of fluoride, excluding varnish <1% 112 108 $497.93
D1110 Prophylaxis - adult <1% 95 91 $394.04
D1330 <1% 276 265 $324.42
2 more codes
D4355 <1% 13 $156.69
D0120 Dental checkup, returning patient <1% 12 $60.07

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)
Same official

Other billing entities under KRASNOV, ROSTISLAV

Full network →
ProviderLocationPaid
Westland Mall Dental, PAHialeah, FL$923K
Cross County Mall Dental, PAWest Palm Beach, FL$906K
Broward Mall Dental, PAPlantation, FL$620K
Miami International Mall Dental, PAMiami, FL$528K
Altamonte Mall Dental PAAltamonte Springs, FL$395K
Brandon Mall Dental P.A.Brandon, FL$283K
Edison Mall Dental P.AFort Myers, FL$255K
Boynton Beach Mall Dental PABoynton Beach, FL$174K
Sawgrass Mills Mall Dental, PASunrise, FL$169K
Regency Square Mall DentalJacksonville, FL$163K
Countryside Mall Dental PAClearwater, FL$155K
Lauderhill Mall Dental, PALauderhill, FL$31K
Tyrone Square Mall Dental P.ASt Petersburg, FL$14K
Willowbrook Mall DentalHouston, TX$10K
Metrotech Dental Associates PLLCBrooklyn, NY$8K
Wheaton Mall Dental LLPWheaton, MD$3K
PG Plaze DentalHyattsville, MD$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.