Medicaid Provider Spending

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

SAWGRASS MILLS MALL DENTAL, PA

NPI: 1306088133 · SUNRISE, FL 33325 · General Practice Dentistry · NPI assigned 03/25/2009

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

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

$169K
Total Medicaid Paid
19,630
Total Claims
17,934
Beneficiaries
19
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSTISLAV (OWNER)
NPI Enumeration Date03/25/2009

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
REGENCY SQUARE MALL DENTAL JACKSONVILLE FL $163K
COUNTRYSIDE MALL DENTAL PA CLEARWATER FL $155K
PEMBROKE LAKES MALL DENTAL PA PEMBROKE PINES FL $62K
LAUDERHILL MALL DENTAL, PA LAUDERHILL FL $31K
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
2019 36 $995.00
2020 705 $7K
2021 286 $2K
2022 5,313 $52K
2023 5,753 $48K
2024 7,537 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,711 1,656 $67K
D0150 Comprehensive oral evaluation - new or established patient 1,061 1,037 $35K
D1208 Topical application of fluoride, excluding varnish 1,741 1,679 $15K
D1351 Sealant - per tooth 1,405 386 $10K
D0272 Bitewings - two radiographic images 2,501 2,432 $6K
D0330 Panoramic radiographic image 947 920 $6K
D0220 Intraoral - periapical first radiographic image 3,083 2,953 $5K
D0140 Limited oral evaluation - problem focused 468 436 $4K
D1330 1,844 1,786 $4K
D1120 Prophylaxis - child 917 898 $4K
D1110 Prophylaxis - adult 691 668 $4K
D0230 Intraoral - periapical each additional radiographic image 2,707 2,572 $3K
D0210 Intraoral - complete series of radiographic images 56 56 $2K
D9310 52 49 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 34 24 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 30 15 $799.38
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 16 12 $758.67
D1206 Topical application of fluoride varnish 57 57 $288.82
D0601 309 298 $120.00