Dental
CL DDS 3 PA
CL DDS 3 PA was paid $491K by Medicaid between Jan 2023 and Dec 2024, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoCL DDS 3 PA
HALLANDALE BEACH, FL 33009
HALLANDALE BEACH, FL 33009
33aNPI1528790177assigned 06/30/2022
33bProvider typePediatric Dentist
28Total paid$491K
24GClaims39,223
24DCodes billed28
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#64 of 246
Median peer was paid$107K
This provider vs. median4.6×
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.
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 | |
|---|---|---|---|
| 2023 | 18,940 | $271K | |
| 2024incomplete | 20,283 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 3,525 | 3,447 | $117K |
| D1110 | Prophylaxis - adult | 16% | 1,248 | 1,219 | $80K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 901 | 876 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 528 | 336 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 3,403 | 1,860 | $29K |
| D1351 | Sealant - per tooth | 4.1% | 3,826 | 965 | $20K |
| D0240 | 3.7% | 4,502 | 3,091 | $18K | |
| D0330 | Panoramic radiographic image | 3.6% | 469 | 456 | $18K |
| D1206 | Topical application of fluoride varnish | 3.6% | 4,569 | 4,463 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 3,562 | 3,472 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 599 | 359 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 735 | 664 | $13K |
16 more codes
| D9920 | 2.5% | 204 | $12K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 74 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 181 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 293 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 42 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 755 | $5K |
| D1330 | 1.1% | 4,312 | $5K | |
| D1510 | 1.0% | 15 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,249 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,334 | $2K |
| D1354 | <1% | 901 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 689 | $1K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 34 | $850.00 |
| D9110 | <1% | 49 | $576.21 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 183 | $27.00 |
| D3120 | 0% | 41 | $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 officialLUSTMAN, CRAIG (OWNER)