Dental
Pediatric Dentistry at Lake Nona
Pediatric Dentistry at Lake Nona was paid $858K by Medicaid between Dec 2019 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY AT LAKE NONA
ORLANDO, FL 32827
ORLANDO, FL 32827
33aNPI1427389030assigned 01/21/2010
33bProvider typePediatric Dentist
28Total paid$858K
24GClaims48,227
24DCodes billed26
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#41 of 246
Median peer was paid$107K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2019 | 149 | $2K | |
| 2020 | 6,134 | $153K | |
| 2021 | 1,918 | $37K | |
| 2022 | 14,684 | $298K | |
| 2023 | 11,535 | $283K | |
| 2024incomplete | 13,807 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 5,435 | 5,153 | $244K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 2,853 | 1,359 | $198K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 1,305 | 1,270 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.4% | 467 | 337 | $55K |
| D9248 | 6.4% | 701 | 603 | $55K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 1,551 | 693 | $48K |
| D0330 | Panoramic radiographic image | 4.0% | 714 | 697 | $34K |
| D1110 | Prophylaxis - adult | 3.6% | 643 | 608 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.3% | 791 | 399 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 925 | 542 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 2,097 | 1,934 | $16K |
| D0240 | 1.7% | 1,459 | 1,380 | $14K |
14 more codes
| D1351 | Sealant - per tooth | 1.5% | 2,265 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 516 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 70 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,306 | $5K |
| D1510 | <1% | 26 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,713 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 5,106 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,031 | $909.62 |
| D2330 | <1% | 15 | $446.33 | |
| D1330 | <1% | 5,993 | $189.95 | |
| D0272 | Bitewings - two radiographic images | <1% | 3,688 | $99.78 |
| D9986 | 0% | 490 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 54 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 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 officialAINA, OLUBISI (CO-OWNER)