Clinic
Dental Group of South Florida IV
Dental Group of South Florida IV was paid $42K by Medicaid between Jan 2020 and Dec 2023, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 33% of everything it billed.
33Billing provider infoDENTAL GROUP OF SOUTH FLORIDA IV
MIAMI, FL 33189
MIAMI, FL 33189
33aNPI1477085983assigned 04/03/2017
33bProvider typeDental Clinic/Center
28Total paid$42K
24GClaims11,363
24DCodes billed17
24AFirst – last monthJan 2020 – Dec 2023
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#50 of 87
Median peer was paid$67K
This provider vs. median0.6×
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 | 890 | $14K | |
| 2021 | 50 | $475.00 | |
| 2022 | 9,512 | $27K | |
| 2023 | 911 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 1,050 | 732 | $14K |
| D1110 | Prophylaxis - adult | 20% | 1,046 | 793 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 902 | 705 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 592 | 208 | $6K |
| D0330 | Panoramic radiographic image | 7.4% | 610 | 496 | $3K |
| D0274 | Bitewings - four radiographic images | 1.8% | 975 | 810 | $729.93 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 809 | 698 | $451.75 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 273 | 82 | $368.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,089 | 876 | $345.41 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 212 | 135 | $340.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,359 | 1,024 | $142.35 |
| D1330 | <1% | 1,643 | 1,182 | $124.98 |
5 more codes
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 officialBELLO, ROLANDO (VP)