Dental
Miami International Mall Dental, PA
Miami International Mall Dental, PA was paid $528K by Medicaid between Oct 2018 and Dec 2024, across 25 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 30% of everything it billed.
33Billing provider infoMIAMI INTERNATIONAL MALL DENTAL, PA
MIAMI, FL 33165
MIAMI, FL 33165
33aNPI1528247533assigned 10/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$528K
24GClaims42,099
24DCodes billed25
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#51 of 568
Median peer was paid$24K
This provider vs. median22×
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
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 | |
|---|---|---|---|
| 2018 | 54 | $0.00 | |
| 2019 | 124 | $2K | |
| 2020 | 3,945 | $60K | |
| 2021 | 258 | $3K | |
| 2022 | 11,352 | $141K | |
| 2023 | 13,400 | $176K | |
| 2024incomplete | 12,966 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 30% | 3,993 | 3,956 | $160K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 2,355 | 2,337 | $144K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 770 | 374 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 682 | 399 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 4.1% | 366 | 366 | $22K |
| D0330 | Panoramic radiographic image | 4.0% | 2,937 | 2,898 | $21K |
| D1330 | 3.9% | 4,043 | 3,974 | $21K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 5,613 | 5,128 | $13K |
| D1110 | Prophylaxis - adult | 2.4% | 1,498 | 1,484 | $13K |
| D9310 | 2.4% | 342 | 339 | $12K | |
| D0272 | Bitewings - two radiographic images | 2.0% | 5,532 | 5,479 | $10K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 698 | 681 | $8K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 2,791 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 6,083 | $8K |
| D1351 | Sealant - per tooth | 1.4% | 1,791 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 249 | $7K |
| D2332 | 1.2% | 155 | $6K | |
| D4355 | <1% | 180 | $5K | |
| D1120 | Dental cleaning, child | <1% | 1,197 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 580 | $3K |
| D8670 | Periodic orthodontic treatment visit | <1% | 28 | $1K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 18 | $450.00 |
| D0601 | <1% | 146 | $345.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 27 | $243.85 |
| D0340 | <1% | 25 | $92.56 |
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 (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Westland Mall Dental, PA | Hialeah, FL | $923K |
| Cross County Mall Dental, PA | West Palm Beach, FL | $906K |
| Broward Mall Dental, PA | Plantation, FL | $620K |
| Altamonte Mall Dental PA | Altamonte Springs, FL | $395K |
| Brandon Mall Dental P.A. | Brandon, FL | $283K |
| Edison Mall Dental P.A | Fort Myers, FL | $255K |
| Boynton Beach Mall Dental PA | Boynton Beach, FL | $174K |
| Sawgrass Mills Mall Dental, PA | Sunrise, FL | $169K |
| Regency Square Mall Dental | Jacksonville, FL | $163K |
| Countryside Mall Dental PA | Clearwater, FL | $155K |
| Pembroke Lakes Mall Dental PA | Pembroke Pines, FL | $62K |
| Lauderhill Mall Dental, PA | Lauderhill, FL | $31K |
| Tyrone Square Mall Dental P.A | St Petersburg, FL | $14K |
| Willowbrook Mall Dental | Houston, TX | $10K |
| Metrotech Dental Associates PLLC | Brooklyn, NY | $8K |
| Wheaton Mall Dental LLP | Wheaton, MD | $3K |
| PG Plaze Dental | Hyattsville, MD | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.