Dental
Affordable Dentures - Port ST. Lucie III, P.A.
Affordable Dentures - Port ST. Lucie III, P.A. was paid $895.08 by Medicaid between Feb 2020 and Feb 2020, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoAFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
33aNPI1295194579assigned 02/16/2016
33bProvider typeDentist
28Total paid$895.08
24GClaims26
24DCodes billed2
24AFirst – last monthFeb 2020 – Feb 2020
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#470 of 542
Median peer was paid$25K
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 | |
|---|---|---|---|
| 2020 | 26 | $895.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 13 | 13 | $895.08 |
| D0330 | Panoramic radiographic image | 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 officialFENTON, DANIEL (DMD/PRACTICE OWNER)