Dental
Pediatric Dentistry of Bonita
Pediatric Dentistry of Bonita was paid $758.00 by Medicaid between Apr 2022 and Jun 2022, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 92% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF BONITA
BONITA SPRINGS, FL 34135
BONITA SPRINGS, FL 34135
33aNPI1194157453assigned 08/08/2013
33bProvider typePediatric Dentist
28Total paid$758.00
24GClaims87
24DCodes billed5
24AFirst – last monthApr 2022 – Jun 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#226 of 246
Median peer was paid$107K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 87 | $758.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 92% | 15 | 15 | $701.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 18 | 12 | $41.00 |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 26 | 26 | $16.00 |
| D1330 | 0% | 15 | 15 | $0.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 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 officialARGUMOSA, MIGUEL (PEDIATRIC DENTIST/MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of Cape Coral | Cape Coral, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.