Dental
Medicaid Dentistry of Daytona LLC
Medicaid Dentistry of Daytona LLC was paid $2.68M by Medicaid between Sep 2018 and Sep 2024, across 34 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoMEDICAID DENTISTRY OF DAYTONA LLC
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
33aNPI1326470436assigned 07/31/2013
33bProvider typeDentist
28Total paid$2.68M
24GClaims106,083
24DCodes billed34
24AFirst – last monthSep 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#12 of 542
Median peer was paid$25K
This provider vs. median106×
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 | |
|---|---|---|---|
| 2018 | 815 | $24K | |
| 2019 | 602 | $25K | |
| 2020 | 13,496 | $342K | |
| 2021 | 6,013 | $118K | |
| 2022 | 35,397 | $716K | |
| 2023 | 29,228 | $786K | |
| 2024incomplete | 20,532 | $670K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 9,813 | 9,633 | $526K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 9,288 | 9,132 | $372K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 2,081 | 1,376 | $243K |
| D1110 | Prophylaxis - adult | 8.5% | 2,515 | 2,476 | $228K |
| D9420 | 7.3% | 282 | 266 | $195K | |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 518 | 517 | $100K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 2,220 | 1,080 | $97K |
| D1351 | Sealant - per tooth | 3.5% | 5,060 | 1,555 | $93K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 2,354 | 2,195 | $93K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 1,012 | 723 | $90K |
| D0272 | Bitewings - two radiographic images | 3.2% | 6,802 | 6,686 | $86K |
| D0330 | Panoramic radiographic image | 2.4% | 806 | 796 | $63K |
22 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 1,449 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 19,623 | $61K |
| D9920 | 2.3% | 686 | $61K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 1,281 | $60K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 11,745 | $55K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 979 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 11,530 | $44K |
| D0274 | Bitewings - four radiographic images | <1% | 2,275 | $26K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 177 | $26K |
| D1330 | <1% | 11,277 | $23K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 509 | $13K |
| D3120 | <1% | 551 | $5K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 119 | $3K |
| D2330 | <1% | 24 | $3K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 57 | $2K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 56 | $1K |
| D1999 | <1% | 46 | $1K | |
| D0240 | <1% | 228 | $983.03 | |
| D0602 | <1% | 222 | $361.42 | |
| D0270 | <1% | 59 | $9.41 | |
| D0603 | <1% | 114 | $5.02 | |
| D0601 | 0% | 325 | $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 officialCHAUDHRY, MUBASHIR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry and Orthodontics of Windermere, LLC | Windermere, FL | $382K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.