Dental
Northern Dental General and Cosmetic Dentistry LLC
Northern Dental General and Cosmetic Dentistry LLC was paid $2.75M by Medicaid between Oct 2018 and Dec 2024, across 11 billing codes. Its largest line is 21215, — 52% of everything it billed.
33Billing provider infoNORTHERN DENTAL GENERAL AND COSMETIC DENTISTRY LLC
NAPLES, FL 34109
NAPLES, FL 34109
33aNPI1164877395assigned 04/25/2016
33bProvider typeDentist
28Total paid$2.75M
24GClaims6,949
24DCodes billed11
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#11 of 542
Median peer was paid$25K
This provider vs. median109×
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 | 32 | $585.90 | |
| 2019 | 505 | $583K | |
| 2020 | 1,021 | $622K | |
| 2021 | 415 | $393K | |
| 2022 | 1,877 | $431K | |
| 2023 | 1,556 | $401K | |
| 2024incomplete | 1,543 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 21215 | 52% | 814 | 576 | $1.42M | |
| 21210 | 44% | 1,278 | 888 | $1.21M | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.9% | 1,736 | 585 | $52K |
| D0330 | Panoramic radiographic image | 1.6% | 1,410 | 1,404 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 656 | 649 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 767 | 764 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 50 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 95 | 95 | $534.72 |
| D1330 | <1% | 94 | 94 | $3.00 | |
| D4341 | 0% | 36 | 14 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 13 | 13 | $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 officialNOVAK, SHANNON (MANAGER)