Dental
Prime Pediatric Dental Group PA
Prime Pediatric Dental Group PA was paid $268K by Medicaid between Mar 2024 and Dec 2024, across 24 billing codes. Its largest line is D1351, Sealant - per tooth — 13% of everything it billed.
33Billing provider infoPRIME PEDIATRIC DENTAL GROUP PA
NORTH MIAMI, FL 33181
NORTH MIAMI, FL 33181
33aNPI1487426482assigned 10/24/2023
33bProvider typePediatric Dentist
28Total paid$268K
24GClaims27,199
24DCodes billed24
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#91 of 246
Median peer was paid$107K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2024incomplete | 27,199 | $268K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 13% | 3,367 | 824 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,873 | 2,815 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 935 | 488 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 1,853 | 1,798 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 1,626 | 1,594 | $23K |
| D0330 | Panoramic radiographic image | 7.3% | 819 | 815 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 1,305 | 1,275 | $20K |
| D1110 | Prophylaxis - adult | 5.2% | 1,039 | 1,036 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 398 | 367 | $12K |
| D0272 | Bitewings - two radiographic images | 3.9% | 1,509 | 1,473 | $10K |
| D1330 | 3.3% | 2,917 | 2,855 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 318 | 195 | $8K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 2,948 | $7K |
| D0274 | Bitewings - four radiographic images | 2.5% | 803 | $7K |
| D9920 | 2.2% | 304 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 2,806 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 260 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 278 | $2K |
| D0603 | <1% | 476 | $448.00 | |
| D3120 | <1% | 45 | $256.84 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $202.00 |
| D0601 | <1% | 212 | $190.00 | |
| D0602 | <1% | 20 | $14.00 | |
| D1354 | 0% | 55 | $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 officialMELLADO, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Prime Pediatric Dental Group PA | Hialeah, FL | $292K |
| Prime Pediatric Dental Group PA | Miami, FL | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.