TYRONE SQUARE MALL DENTAL P.A
NPI: 1487065058
· ST PETERSBURG, FL 33710
· Dentist
· NPI assigned 05/16/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
Provider Details
Related Entities
Other providers sharing the same authorized official: KRASNOV, ROSTISLAV
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$0.00 |
| 2020 |
1,208 |
$12K |
| 2021 |
306 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
204 |
196 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
25 |
$442.00 |
| D0330 |
Panoramic radiographic image |
171 |
169 |
$306.00 |
| D0220 |
Intraoral - periapical first radiographic image |
327 |
311 |
$208.92 |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
57 |
$144.00 |
| D0272 |
Bitewings - two radiographic images |
261 |
247 |
$57.00 |
| D1330 |
|
162 |
154 |
$43.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
286 |
265 |
$28.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |