Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › TAMPA › COAST MELBOUNE PL

COAST MELBOUNE PL

NPI: 1528159662 · TAMPA, FL 33607 · Dentist · NPI assigned 09/27/2006

$7K
Total Medicaid Paid
223
Total Claims
223
Beneficiaries
5
Codes Billed
2018-10
First Month
2020-02
Last Month

Provider Details

Authorized OfficialFINNELL, DARLENE (DIRECTOR OF INS. AND CREDENTIALING)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: FINNELL, DARLENE

ProviderCityStateTotal Paid
COAST FLORIDA P.A. TAMPA FL $2.34M
COAST DENTAL P.A. TAMPA FL $218K
COAST TOWN-N-COUNTRY, P.L. TAMPA FL $6K
COAST PALM COAST PL TAMPA FL $5K
COAST SOUTH TAMPA PL TAMPA FL $4K
COAST SARASOTA CROSSING PL TAMPA FL $4K
COAST BRANDON TOWN CENTER P.L. TAMPA FL $3K
COAST DENTAL OF NEVADA INC. HENDERSON NV $1K
COAST PORT CHARLOTTE, P.L. TAMPA FL $571.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $366.45
2020 191 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 29 $3K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D1110 Prophylaxis - adult 46 46 $1K
D1206 Topical application of fluoride varnish 71 71 $271.29
D0210 Intraoral - complete series of radiographic images 48 48 $138.00