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

Sawgrass Mills Mall Dental, PA

Sawgrass Mills Mall Dental, PA was paid $169K by Medicaid between Dec 2019 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoSAWGRASS MILLS MALL DENTAL, PA
SUNRISE, FL 33325
33aNPI1306088133assigned 03/25/2009
28Total paid$169K
24GClaims19,630
24DCodes billed19
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#131 of 568
Median peer was paid$24K
This provider vs. median7.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
201936$995.00
2020705$7K
2021286$2K
20225,313$52K
20235,753$48K
2024incomplete7,537$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 40% 1,711 1,656 $67K
D0150 Comprehensive oral evaluation - new or established patient 21% 1,061 1,037 $35K
D1208 Topical application of fluoride, excluding varnish 8.8% 1,741 1,679 $15K
D1351 Sealant - per tooth 5.9% 1,405 386 $10K
D0272 Bitewings - two radiographic images 3.7% 2,501 2,432 $6K
D0330 Panoramic radiographic image 3.6% 947 920 $6K
D0220 Intraoral - periapical first radiographic image 2.7% 3,083 2,953 $5K
D0140 Limited oral evaluation - problem focused 2.4% 468 436 $4K
D1330 2.3% 1,844 1,786 $4K
D1120 Dental cleaning, childProphylaxis - child 2.2% 917 898 $4K
D1110 Prophylaxis - adult 2.1% 691 668 $4K
D0230 Intraoral - periapical each additional radiographic image 2.1% 2,707 2,572 $3K
7 more codes
D0210 Intraoral - complete series of radiographic images 1.2% 56 $2K
D9310 <1% 52 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 34 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 30 $799.38
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 16 $758.67
D1206 Topical application of fluoride varnish <1% 57 $288.82
D0601 <1% 309 $120.00

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 officialKRASNOV, ROSTISLAV (OWNER)
Same official

Other billing entities under KRASNOV, ROSTISLAV

Full network →
ProviderLocationPaid
Westland Mall Dental, PAHialeah, FL$923K
Cross County Mall Dental, PAWest Palm Beach, FL$906K
Broward Mall Dental, PAPlantation, FL$620K
Miami International Mall Dental, PAMiami, FL$528K
Altamonte Mall Dental PAAltamonte Springs, FL$395K
Brandon Mall Dental P.A.Brandon, FL$283K
Edison Mall Dental P.AFort Myers, FL$255K
Boynton Beach Mall Dental PABoynton Beach, FL$174K
Regency Square Mall DentalJacksonville, FL$163K
Countryside Mall Dental PAClearwater, FL$155K
Pembroke Lakes Mall Dental PAPembroke Pines, FL$62K
Lauderhill Mall Dental, PALauderhill, FL$31K
Tyrone Square Mall Dental P.ASt Petersburg, FL$14K
Willowbrook Mall DentalHouston, TX$10K
Metrotech Dental Associates PLLCBrooklyn, NY$8K
Wheaton Mall Dental LLPWheaton, MD$3K
PG Plaze DentalHyattsville, MD$3K

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