Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Tyrone Square Mall Dental P.A

Tyrone Square Mall Dental P.A was paid $14K by Medicaid between Nov 2018 and Oct 2021, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 82% of everything it billed.

33Billing provider infoTYRONE SQUARE MALL DENTAL P.A
ST PETERSBURG, FL 33710
33aNPI1487065058assigned 05/16/2014
33bProvider typeDentist
28Total paid$14K
24GClaims1,538
24DCodes billed10
24AFirst – last monthNov 2018 – Oct 2021
Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#314 of 542
Median peer was paid$25K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201824$0.00
20201,208$12K
2021306$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 82% 204 196 $12K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.7% 28 28 $1K
D0140 Limited oral evaluation - problem focused 3.1% 28 25 $442.00
D0330 Panoramic radiographic image 2.2% 171 169 $306.00
D0220 Intraoral - periapical first radiographic image 1.5% 327 311 $208.92
D1208 Topical application of fluoride, excluding varnish 1.0% 59 57 $144.00
D0272 Bitewings - two radiographic images <1% 261 247 $57.00
D1330 <1% 162 154 $43.00
D0230 Intraoral - periapical each additional radiographic image <1% 286 265 $28.00
D1120 Dental cleaning, childProphylaxis - child 0% 12 12 $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 officialKRASNOV, ROSTISLAV (DDS)
Same official

Other billing entities under KRASNOV, ROSTISLAV

Full network →
ProviderLocationPaid
Westland Mall Dental, PAHialeah, FL$923K
Cross County Mall Dental, PAWest Palm Beach, FL$906K
Broward Mall Dental, PAPlantation, FL$620K
Miami International Mall Dental, PAMiami, FL$528K
Altamonte Mall Dental PAAltamonte Springs, FL$395K
Brandon Mall Dental P.A.Brandon, FL$283K
Edison Mall Dental P.AFort Myers, FL$255K
Boynton Beach Mall Dental PABoynton Beach, FL$174K
Sawgrass Mills Mall Dental, PASunrise, FL$169K
Regency Square Mall DentalJacksonville, FL$163K
Countryside Mall Dental PAClearwater, FL$155K
Pembroke Lakes Mall Dental PAPembroke Pines, FL$62K
Lauderhill Mall Dental, PALauderhill, FL$31K
Willowbrook Mall DentalHouston, TX$10K
Metrotech Dental Associates PLLCBrooklyn, NY$8K
Wheaton Mall Dental LLPWheaton, MD$3K
PG Plaze DentalHyattsville, MD$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.