Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAUDERHILL MALL DENTAL, PA

NPI: 1285310011 · LAUDERHILL, FL 33313 · General Practice Dentistry · NPI assigned 06/26/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more

$31K
Total Medicaid Paid
4,117
Total Claims
3,724
Beneficiaries
12
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSTISLAV (OWNER)
NPI Enumeration Date06/26/2023

Related Entities

Other providers sharing the same authorized official: KRASNOV, ROSTISLAV

ProviderCityStateTotal Paid
WESTLAND MALL DENTAL, PA HIALEAH FL $923K
CROSS COUNTY MALL DENTAL, PA WEST PALM BEACH FL $906K
BROWARD MALL DENTAL, PA PLANTATION FL $620K
MIAMI INTERNATIONAL MALL DENTAL, PA MIAMI FL $528K
ALTAMONTE MALL DENTAL PA ALTAMONTE SPRINGS FL $395K
BRANDON MALL DENTAL P.A. BRANDON FL $283K
EDISON MALL DENTAL P.A FORT MYERS FL $255K
BOYNTON BEACH MALL DENTAL PA BOYNTON BEACH FL $174K
SAWGRASS MILLS MALL DENTAL, PA SUNRISE FL $169K
REGENCY SQUARE MALL DENTAL JACKSONVILLE FL $163K
COUNTRYSIDE MALL DENTAL PA CLEARWATER FL $155K
PEMBROKE LAKES MALL DENTAL PA PEMBROKE PINES FL $62K
TYRONE SQUARE MALL DENTAL P.A ST PETERSBURG FL $14K
WILLOWBROOK MALL DENTAL HOUSTON TX $10K
METROTECH DENTAL ASSOCIATES PLLC BROOKLYN NY $8K
WHEATON MALL DENTAL LLP WHEATON MD $3K
PG PLAZE DENTAL HYATTSVILLE MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 983 $8K
2024 3,134 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 738 729 $14K
D0330 Panoramic radiographic image 285 281 $6K
D0230 Intraoral - periapical each additional radiographic image 1,094 746 $5K
D0272 Bitewings - two radiographic images 591 585 $2K
D1110 Prophylaxis - adult 95 94 $1K
D0220 Intraoral - periapical first radiographic image 781 767 $1K
D1208 Topical application of fluoride, excluding varnish 129 129 $800.11
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17 12 $680.00
D1330 239 234 $654.22
D1120 Prophylaxis - child 50 50 $384.36
D1206 Topical application of fluoride varnish 27 27 $221.55
D0274 Bitewings - four radiographic images 71 70 $176.77