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

Pediatric Dental Center of Palmetto Bay INC

Pediatric Dental Center of Palmetto Bay INC was paid $258K by Medicaid between Jun 2022 and Dec 2024, across 23 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL CENTER OF PALMETTO BAY INC
PALMETTO BAY, FL 33157
33aNPI1164003786assigned 04/15/2021
33bProvider typePediatric Dentist
28Total paid$258K
24GClaims18,723
24DCodes billed23
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#94 of 246
Median peer was paid$107K
This provider vs. median2.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
20224,559$54K
20238,340$130K
2024incomplete5,824$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 24% 1,197 1,170 $62K
D1110 Prophylaxis - adult 15% 447 442 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 1,258 1,253 $32K
D8660 9.6% 341 322 $25K
D1120 Dental cleaning, childProphylaxis - child 8.7% 2,000 1,963 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.0% 289 187 $21K
D8670 Periodic orthodontic treatment visit 6.4% 269 268 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.6% 240 169 $9K
D1208 Topical application of fluoride, excluding varnish 3.5% 3,104 3,058 $9K
D1330 1.3% 3,076 3,024 $3K
D1351 Sealant - per tooth 1.2% 1,625 388 $3K
D0272 Bitewings - two radiographic images 1.2% 1,298 1,292 $3K
11 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.1% 112 $3K
D0330 Panoramic radiographic image <1% 130 $2K
D9999 Unspecified adjunctive procedure, by report <1% 107 $2K
D0220 Intraoral - periapical first radiographic image <1% 1,415 $1K
D0230 Intraoral - periapical each additional radiographic image <1% 1,217 $997.08
D9920 <1% 59 $888.70
D0274 Bitewings - four radiographic images <1% 370 $670.40
D0210 Intraoral - complete series of radiographic images <1% 35 $460.00
D3120 <1% 32 $95.35
D0601 <1% 71 $34.00
D0603 <1% 31 $6.00

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)
Same official

Other billing entities under ACOSTA, ENRIQUE

Full network →

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